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Organization
COLEMAN MEDICAL GROUP APMC
Active
Organization
COLEMAN MEDICAL GROUP APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA SKINNER (CREDENTIALING SPECIALIST)
(318) 798-4539
Entity
Organization
Contact information
Practice address
200 SILVER FOX CIR, HAUGHTON, LA 71037-7704
(318) 213-8300
Mailing address
PO BOX 5237, SHREVEPORT, LA 71135-5237
(318) 798-4539
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NULL
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1453340
—
LA
Enumeration date
03/02/2022
Last updated
03/17/2022
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