Provider Demographics
NPI:1538978093
Name:COKER, CLAUDIA (PHD)
Entity type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:
Last Name:COKER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1414 BENBROOKE RDG NW
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-3547
Mailing Address - Country:US
Mailing Address - Phone:240-855-6887
Mailing Address - Fax:
Practice Address - Street 1:2500 DALLAS HWY SW STE 202
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-7505
Practice Address - Country:US
Practice Address - Phone:240-855-6887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-30
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAA-4044811171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach