Individual
ALEXIS LEIGH COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2210 WILBORN AVE, SOUTH BOSTON, VA 24592-1630
(941) 740-1946
Mailing address
203 HULL ST APT 4A, RICHMOND, VA 23224-4275
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
11/11/2020
Last updated
01/29/2021
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