Individual
DR. ANGELA HORNE COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1035 RED BUD RD NE, CALHOUN, GA 30701-6010
(706) 879-4724
Mailing address
3825 CHASEMONT DRIVE, POWDER SPRINGS, GA 30127
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19655
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080262879
MS MEDICARE NO.
MS
05
—
08535894
—
MS
01
—
19655
MS STATE LICENSE #
MS
Enumeration date
02/13/2007
Last updated
09/11/2013
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