Provider Demographics
NPI:1538653340
Name:HAYLEY COKER MD INC
Entity Type:Organization
Organization Name:HAYLEY COKER MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:NOLASCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-927-3178
Mailing Address - Street 1:2277 FAIR OAKS BLVD STE 355
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-5595
Mailing Address - Country:US
Mailing Address - Phone:916-927-3178
Mailing Address - Fax:
Practice Address - Street 1:2277 FAIR OAKS BLVD STE 355
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-5595
Practice Address - Country:US
Practice Address - Phone:916-927-3178
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-15
Last Update Date:2018-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA139562207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty