Organization
CC VISIONS
Active
Other names
celethia coleman
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CELETHIA J COLEMAN (CNA/PCT)
(404) 823-4481
Entity
Organization
Contact information
Practice address
600 ADDISON WAY, MCDONOUGH, GA 30253-8075
(404) 823-4481
(678) 782-3530
Mailing address
600 ADDISON WAY, MCDONOUGH, GA 30253-8075
(404) 823-4481
(678) 782-3530
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
812199
GA
343900000X
Non-emergency Medical Transport (VAN)
12053036
GA
Other
Enumeration date
11/15/2010
Last updated
01/02/2015
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