| Mr Edward Brooks Coffie Ii, | |
|
404 King Springs Village Pkwy Se, Smyrna, GA 30082-4240 | |
| (770) 432-4444 | |
| Not Available |
| Full Name | Mr Edward Brooks Coffie Ii |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 15 Years |
| Location | 404 King Springs Village Pkwy Se, Smyrna, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508246174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT006190 (Georgia) | Primary |
| 225X00000X | Occupational Therapist | OT16972 (Florida) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Healthcare Services Inc | 2163339722 | 3772 |
| Provider Name | The Weston Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841309101 PECOS PAC ID: 8123936796 Enrollment ID: O20050719000195 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Edward Brooks Coffie Ii, 1793 Liberty Pkwy Nw, Atlanta, GA 30318-9384 Ph: (352) 455-5124 | Mr Edward Brooks Coffie Ii, 404 King Springs Village Pkwy Se, Smyrna, GA 30082-4240 Ph: (770) 432-4444 |
Mrs. Usha J. Balakrishnan, OTR/L,MPH Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3968 Felton Hill Rd Sw, Suite 100, Smyrna, GA 30082 Phone: 770-333-7888 Fax: 770-333-7889 | |
Lauren Grace Ver Meulen, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3200 Highlands Pkwy Se Ste 150, Smyrna, GA 30082 Phone: 770-927-7424 | |
Nirali Girish Shah, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2750 Atlanta Rd Se Ste 201a, Smyrna, GA 30080 Phone: 404-465-2399 | |
Erin Casey Millinoff, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3200 Highlands Pkwy Se, #150, Smyrna, GA 30082 Phone: 770-433-2300 | |
Mrs. Nicole Pelham Lohmann, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3200 Highlands Pkwy Se, Suite, 150, Smyrna, GA 30082 Phone: 770-433-2300 | |
Pediatric Development Center Of Atlanta, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2694 Hughes St Se, Smyrna, GA 30080 Phone: 770-405-8542 | |
Mrs. Phylicia Ware, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3699 Lake Dr Se, Smyrna, GA 30082 Phone: 678-231-5791 |