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Individual

CHERYL E COLEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
907 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5015
(865) 983-7211
(865) 450-9374
Mailing address
PO BOX 24776, CHATTANOOGA, TN 37422-4776
(877) 288-1799
(423) 892-5838

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
15035
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0164892
BLUE CROSS BLUE SHIELD TN
TN
05
3023048
TN
Enumeration date
11/07/2005
Last updated
12/02/2010
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