| David Stephen Cofer, NP-C | |
|
216 Thacker Dr, Rock Spring, GA 30739-7200 | |
| (706) 764-1239 | |
| (312) 268-6115 |
| Full Name | David Stephen Cofer |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 216 Thacker Dr, Rock Spring, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831354455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 13528 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | RN166860 (Georgia) | Primary |
| Entity Name | Fast Pace Medical Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134452865 PECOS PAC ID: 5395881841 Enrollment ID: O20091014000112 |
| Entity Name | Dx Mso Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225381148 PECOS PAC ID: 7719131101 Enrollment ID: O20130213000017 |
| Mailing Address | Practice Location Address |
|---|---|
| David Stephen Cofer, NP-C 314 Mcbrien Rd Apt A5, Chattanooga, TN 37411-4829 Ph: (423) 618-7192 | David Stephen Cofer, NP-C 216 Thacker Dr, Rock Spring, GA 30739-7200 Ph: (706) 764-1239 |
Heather Lacey Williams, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 97 Kevin Ln, Rock Spring, GA 30739 Phone: 999-999-9999 | |
Jennifer Nicole Hennon, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 216 Thacker Dr, Rock Spring, GA 30739 Phone: 866-434-3255 |