Individual
KALLI PELAR COLEMAN ADDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC/LAT, EMT-I
Contact information
Practice address
131 CYPRESS LN, EATONTON, GA 31024-7567
(706) 473-4497
Mailing address
123 CHANDLER DR, EATONTON, GA 31024-6139
(706) 473-4497
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
I-40267
GA
2255A2300X
Athletic Trainer
AT002731
GA
363LF0000X
Family Nurse Practitioner
Primary
RN297931
GA
Other
Enumeration date
09/15/2016
Last updated
12/11/2025
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