Individual
ROBERT COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1400 E UNION ST, GREENVILLE, MS 38703-3246
(662) 378-3783
Mailing address
PO BOX 235019, MONTGOMERY, AL 36123-5019
(334) 279-1450
(334) 279-1660
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R542965
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00015861
—
MS
01
—
201397813A
BCBS
MS
Enumeration date
04/26/2006
Last updated
09/24/2008
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