Individual
SUSAN COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.R.A.
Contact information
Practice address
7023 CARTLEDGE ROAD, BOX SPRINGS, GA 31801
(706) 571-1054
(705) 571-1093
Mailing address
7023 CARTLEDGE ROAD, BOX SPRINGS, GA 31801
(706) 571-1054
(706) 571-1093
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
417893
MN
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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