Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BERETTA CRAFT-COFFMAN, P.A.-C
ActiveBERETTA CRAFT-COFFMAN, P.A.-C is a Surgical Physician Assistant healthcare provider located in CANTON, Georgia. NPI 1285601880 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · CANTON, GA
Registration Details
- NPI Number
- 1285601880
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 2, 2006 (20.483782770977 yrs)
- Last Updated
- Jun 20, 2025
- Licenses
-
PA.0004259 (CO)PA9106348 (FL)PA2198 (NV)0010-10058 (NC)PA00325 (MS)
Practice Information
- Address
-
125 OAKSIDE CT STE 102CANTON, GA, 301142498Browse GA providers · Browse ZIP 30114
- Phone
- 7702138376
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
- Additional Specialty
- Surgical Physician Assistant
- Additional Specialty
- Surgical Physician Assistant
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in CANTON, GA
| Name | Credential | NPI |
|---|---|---|
| MRS. HEATHER J HALL | PA-C | 1760528434 |
| MR. DARRICK LAMONT CLARK | PA | 1427297811 |
| TERRI RYBAK | CST/CSFA | 1740599182 |
| BETHANY WILEY LILL | — | 1316298953 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.