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Individual

JASON W COLEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2124 14TH ST, MERIDIAN, MS 39301-4040
(601) 553-6000
(601) 553-6115
Mailing address
6325 HIGHWAY 145, MERIDIAN, MS 39301-7877
(601) 483-0120

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R856328
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00250805
MS
05
009961185
AL
01
730-09747
BLUE CROSS OF AL
AL
Enumeration date
08/11/2006
Last updated
06/08/2022
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