Individual
MS. MACY SHEA COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
815 LEGION DR, EASTMAN, GA 31023-6782
(478) 374-5571
Mailing address
640 PINE HAVEN DR, EASTMAN, GA 31023-7120
(478) 231-2971
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004649
GA
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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