Individual
JEREMY ORANTES COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
1287 CEDAR SHOALS DR APT 1016, ATHENS, GA 30605-3571
(706) 424-2282
Mailing address
1287 CEDAR SHOALS DR APT 1016, ATHENS, GA 30605-3571
(706) 424-2282
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
OTA000931
GA
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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