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Individual

DR. WILLIAM EDWIN COLEMAN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1211 PALMYRA RD, ALBANY, GA 31701-1935
(229) 432-9746
(229) 883-4484
Mailing address
3027 WILDFAIR RD, ALBANY, GA 31721-9362
(229) 894-7067

Taxonomy

Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
14205
SC
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
ME0066626
FL
2084P0802X
Addiction Psychiatry Physician
Primary
031577
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000463526H
GA
05
000463526I
GA
Enumeration date
06/28/2006
Last updated
05/29/2015
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