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Individual

DOROTHY COLEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CEO

Contact information

Practice address
169 DEMPSEY AVE STE 2A, JACKSON, GA 30233-2019
(770) 758-0080
(770) 775-7760
Mailing address
PO BOX 1355, JACKSON, GA 30233-0027
(770) 758-0080
(770) 775-7760

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
09/07/2022
Last updated
11/15/2022
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