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MRS. CHARLOTTE DENIECE COLEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
295 SUMMAR AVENUE, WEST TENNESSE REGIONAL OFFICE, JACKSON, TN 38301
(731) 423-6600
(731) 935-7093
Mailing address
5990 OLD HIGHWAY 64, WHITEVILLE, TN 38075
(731) 254-9160

Taxonomy

Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
25283
TN

Other

Enumeration date
01/29/2007
Last updated
07/08/2007
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