Individual
DR. MARLA O. COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D. D. S
Contact information
Practice address
970 MARTIN LUTHER KING JR DR SW, SUITE 301, ATLANTA, GA 30314-2962
(404) 523-3153
(404) 523-0136
Mailing address
970 MARTIN LUTHER KING JR DR SW, SUITE 301, ATLANTA, GA 30314-2962
(404) 523-3153
(404) 523-0136
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
GA10307
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00364823A
—
GA
Enumeration date
09/16/2005
Last updated
01/03/2008
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