Individual
DR. CHARLES STEVEN COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 BURNETTS WAY, SUITE 320, SUFFOLK, VA 23434-8168
(757) 934-1900
(757) 925-6719
Mailing address
150 BURNETTS WAY, SUITE 320, SUFFOLK, VA 23434-8168
(757) 934-1900
(757) 925-6719
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
0101226908
VA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
0101226908
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007114613
—
VA
01
—
130022433
MEDICARE RR
VA
Enumeration date
07/25/2006
Last updated
08/11/2010
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