Georgina G Coffey, D.M.D.
Individual provider Active NPI General Practice Dentistry · Manning, SC
NPI 1972632644 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1972632644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- SC3938 (SC)
- Practice address
- 24 Bozard St
Manning, SC 29102-2935 - Phone
- (803) 435-8845
- NPI assigned
- Mar 5, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC3938 | SC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manning Dental Associates | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | SC3938 | SC | Yes |
Addresses
Primary practice location
24 Bozard St
Manning, SC 29102-2935
Mailing address
24 Bozard St
P.O. Box 1291
Manning, SC 29102-2935
Phone (803) 435-8845
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZX3938 | Medicaid | SC |
Other providers in Manning, SC
- Clarendon Memorial Hospital
- Clarendon Memorial Hospital
- Clarendon Memorial Hospital
- Clarendon Memorial Hospital Dba Cypress Transport
- Clarendon School District Two
- Sonam Kuber Cogdill
- Clarence E Coker Jr.
- Laura Browder Collins
- Colonial Family Practice - Manning
- Colonial Family Practice, LLC
All providers in Manning, SC · General Practice Dentistry in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.