Individual
EVELYN R COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1662 DEBRA DR, GREENVILLE, MS 38703-7817
(662) 347-5965
(662) 537-7887
Mailing address
1662 DEBRA DR, GREENVILLE, MS 38703-7817
(662) 347-5965
(662) 537-7887
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
MS
305S00000X
Point of Service
—
—
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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