Organization
NORTHEAST GEORGIA GYNECOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY G COLEMAN MD (OWNER)
(770) 532-9250
Entity
Organization
Contact information
Practice address
440 WASHINGTON ST SE, GAINESVILLE, GA 30501-3619
(770) 532-9250
(770) 532-4242
Mailing address
440 WASHINGTON ST SE, GAINESVILLE, GA 30501-3619
(770) 532-9250
(770) 532-4242
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
046837
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP6368
MEDICARE GROUP PIN
GA
Enumeration date
05/05/2008
Last updated
05/02/2016
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