Individual provider · Type 1 NPI
Beretta Craft-Coffman, P.A.-C
Surgical Physician Assistant · Canton, GA
NPI number
1285601880
Active
Practice location
125 Oakside Ct Ste 102
Canton, GA 30114-2498
Mailing address
626 Bent Creek Dr
Evans, GA 30809-7445
Other practice locations
- 1225 N State St, Jackson, MS 39202-2064 · (833) 672-8767
- 3186 S Maryland Pkwy, Las Vegas, NV 89109-2317 · (725) 433-7788
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA.0004259 (CO) |
| Surgical Physician Assistant | 363AS0400X | PA9106348 (FL) |
| Surgical Physician Assistant | 363AS0400X | PA2198 (NV) |
| Surgical Physician Assistant | 363AS0400X | 0010-10058 (NC) |
| Surgical Physician Assistant | 363AS0400X | PA00325 (MS) |
| Surgical Physician Assistant | 363AS0400X | 1199 (SC) |
| Surgical Physician Assistant | 363AS0400X | PA0659 (NV) |
| Surgical Physician Assistant | 363AS0400X | PA0000001672 (TN) |
| Surgical Physician Assistant | 363AS0400X | PA09999 (TX) |
| Surgical Physician Assistant | 363AS0400X | 0110007147 (VA) |
| Surgical Physician Assistant Primary | 363AS0400X | 002366 (GA) |
Surgical Physician Assistant: Definition to come...
Other surgical physician assistant providers in Canton
- Bethany Wiley LillSurgical Physician Assistant Canton, GA NPI 1316298953
- Darrick Lamont Clark, PASurgical Physician Assistant Canton, GA NPI 1427297811
- Terri Rybak, CST/CSFASurgical Physician Assistant Canton, GA NPI 1740599182
- Heather J. Hall, PA-CSurgical Physician Assistant Canton, GA NPI 1760528434
About NPI 1285601880
Beretta Craft-Coffman, P.A.-C's National Provider Identifier is 1285601880, issued on Mar 2, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Canton, GA. The record was last updated on Jun 20, 2025.