Individual
DR. ASHLEY D COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
405 N. SECTION STREET, FAIRHOPE, AL 36532-2613
(251) 990-8860
(251) 990-3401
Mailing address
405 N. SECTION STREET, FAIRHOPE, AL 36532-2613
(251) 990-8860
(251) 990-3401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30304
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102I084629
MEDICARE PROVIDER PTAN
AL
01
—
1124216551
INDIVIDUAL NPI
AL
05
—
140544
—
AL
05
—
143992
—
AL
01
—
1750393682
NPI GROUP
AL
05
—
529700760
—
AL
05
—
541003926
—
AL
01
—
F712
MEDICARE GROUP PTAN
AL
Enumeration date
10/10/2007
Last updated
01/05/2026
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