Provider Demographics
NPI:1427077148
Name:COKER, GLORIA BATTLE (MD)
Entity type:Individual
Prefix:DR
First Name:GLORIA
Middle Name:BATTLE
Last Name:COKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71250 HENDRY AVE
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-8849
Mailing Address - Country:US
Mailing Address - Phone:985-892-7130
Mailing Address - Fax:985-893-0590
Practice Address - Street 1:71250 HENDRY AVE
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-8849
Practice Address - Country:US
Practice Address - Phone:985-892-7130
Practice Address - Fax:985-893-0590
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.011647207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1794565Medicaid
LA1794565Medicaid
B89240Medicare UPIN