Provider Demographics
NPI:1649267444
Name:COYNE, DARLENE MENDENHALL (NP)
Entity type:Individual
Prefix:MRS
First Name:DARLENE
Middle Name:MENDENHALL
Last Name:COYNE
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:1010 JOHNSON FERRY RD
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30068-2108
Mailing Address - Country:US
Mailing Address - Phone:770-793-7302
Mailing Address - Fax:770-977-4394
Practice Address - Street 1:1010 JOHNSON FERRY RD
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30068-2108
Practice Address - Country:US
Practice Address - Phone:770-793-7302
Practice Address - Fax:770-977-4394
Is Sole Proprietor?:No
Enumeration Date:2005-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN047904363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily