Individual
LEE WALKER COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2005 HIGHWAY 82 W, GREENWOOD, MS 38930-2720
(662) 455-4523
(662) 455-3790
Mailing address
2005 HIGHWAY 82 W, GREENWOOD, MS 38930-2720
(662) 455-4523
(662) 455-3790
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
17155
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09501091
—
MS
01
—
P00059133
R/R MEDICARE
MS
Enumeration date
07/13/2005
Last updated
04/16/2010
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