Individual
GEORGE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
344 W MAIN ST, WAVERLY, VA 23890-3235
(804) 834-8871
(804) 834-8875
Mailing address
8575 IVOR RD, IVOR, VA 23866-3108
(757) 859-6161
(757) 859-6452
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101034924
VA
Other
Enumeration date
01/10/2006
Last updated
08/21/2007
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