# MICHAEL S COLEMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1689604043
- **Gender:** Man
- **Credential:** P.A.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 004854 | GA | Yes |
| 363AM0700X | Medical Physician Assistant | PA04354 | TX | — |

## Other

- **Enumeration date:** 07/03/2006
- **Last updated:** 12/19/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01050710 | AMERIGROUP | GA |
| 05 | — | 194202142C | — | GA |
| 05 | — | 194202142D | — | GA |
| 01 | — | 346495 | WELLCARE | GA |
| 01 | — | 8N8242 | BCBS | TX |