# DOUG COLEMAN, MD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Doug Coleman, MD PA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386897312
- **Authorized official:** CINDY M LIVINGSTON (CLINIC MANAGER)
- **Authorized official phone:** (870) 247-9499

## Contact information

- **Practice address:** 1400 CLAUD RD, WHITE HALL, AR 71602-8622
- **Practice address phone:** (870) 247-9499
- **Practice address fax:** (870) 247-5312
- **Mailing address:** 1400 CLAUD RD, WHITE HALL, AR 71602-8622
- **Mailing address phone:** (870) 247-9499
- **Mailing address fax:** (870) 247-5312

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MC1662 | AR | Yes |

## Other

- **Enumeration date:** 11/04/2008
- **Last updated:** 10/02/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 124701001 | — | AR |