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Efrain Coronado

NPI 1518050376 · on the registry since 2006

Practice

Address
4280 Lavista Rd Ste C117
Tucker, GA 30084
Phone
(678) 688-4811
Fax
(404) 855-4913
Clinicians at this address
5

Additional practice sites

  • 13889 Wellington Trace, Wellington, FL

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Also registered as
1223G0001X
Licence states on file
FL, GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-10-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia