Individual
SETH LEWIS COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
123 COMMONS DR, MARTIN, TN 38237-3882
(731) 661-9825
Mailing address
134 STELLA RUTH RD, MARTIN, TN 38237-8501
(731) 571-0479
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4635
TN
Other
Enumeration date
04/13/2020
Last updated
08/10/2023
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