Individual provider · NPI-1
Kristina Sarahmae Coggins, PA-C
Pediatrics · Bremen, GA
NPI number1922980556
StatusActive
Last updated in NPPESJul 24, 2025
Details
- NPI
- 1922980556
- Entity type
- Individual (NPI-1)
- Name
- Kristina Sarahmae Coggins
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 24, 2025
- Certification date
- Jul 24, 2025
- Last updated
- Jul 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 13204 | GA | Yes |
| 207QA0505X | Family Medicine, Adult Medicine | 13204 | GA |
Practice location
222 Gordon StBremen, GA 30110-1519
Phone 770-537-1234
Mailing address
320 Gordon St Apt BBremen, GA 30110-1521
Phone 678-416-3398
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