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Individual

FAIRY COLEMAN

Active
Sole proprietor

Provider details

NPI number
Gender
F

Contact information

Practice address
2018 W CLINCH AVE, KNOXVILLE, TN 37916-2301
(865) 541-8155
Mailing address
800 WOODBRIER RD, KNOXVILLE, TN 37923-2514

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
RN0000096739
TN

Other

Enumeration date
04/08/2006
Last updated
07/08/2007
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