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Individual

DR. ROBERT M COLEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3053 W STATE ST, BRISTOL, TN 37620-1720
(423) 968-1144
(423) 968-3453
Mailing address
3053 W STATE ST, BRISTOL, TN 37620-1720
(423) 968-1144
(423) 968-3453

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
13515
MS
2085R0202X
Diagnostic Radiology Physician
13515
MS
2085R0202X
Diagnostic Radiology Physician
Primary
47198
TN
2085R0204X
Vascular & Interventional Radiology Physician
13515
MS
2085R0204X
Vascular & Interventional Radiology Physician
47198
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00114726
MS
05
1525730
TN
05
30016543010001
VA
Enumeration date
06/08/2006
Last updated
05/29/2024
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