Organization
DOUG COLEMAN, MD PA
Active
Other names
Doug Coleman, MD PA
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY M LIVINGSTON (CLINIC MANAGER)
(870) 247-9499
Entity
Organization
Contact information
Practice address
1400 CLAUD RD, WHITE HALL, AR 71602-8622
(870) 247-9499
(870) 247-5312
Mailing address
1400 CLAUD RD, WHITE HALL, AR 71602-8622
(870) 247-9499
(870) 247-5312
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MC1662
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124701001
—
AR
Enumeration date
11/04/2008
Last updated
10/02/2020
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