Individual
DR. ERIKA LYNN COLEMAN-GOODLOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1207 W PEACE ST, CANTON, MS 39046-9037
(601) 859-9595
(601) 859-9395
Mailing address
PO BOX 449, CANTON, MS 39046-0449
(601) 859-9595
(601) 859-9395
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2942-96
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660220
—
MS
Enumeration date
07/29/2006
Last updated
07/08/2007
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