Individual
ANGELA COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
5303 INDIAN GRAVE RD., ROANOKE, VA 24018
(540) 725-3060
(540) 772-4948
Mailing address
5303 INDIAN GRAVE RD., ROANOKE, VA 24018
(540) 725-3060
(540) 772-4948
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001940
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
580659
—
VA
Enumeration date
07/25/2006
Last updated
10/17/2016
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