Individual
COLEMAN ROSS GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
14 RICHLAND MEDICAL PARK DR STE 200, COLUMBIA, SC 29203-6882
(803) 296-7846
(803) 296-9699
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(645) 228-6038
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4918
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6336PA
—
SC
Enumeration date
04/20/2023
Last updated
11/11/2024
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