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Individual

DR. SPENCER J COLEMAN SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
73970 TALLASSEE HIGHWAY, WETUMPKA, AL 36092
(334) 567-7850
Mailing address
73970 TALLASSEE HIGHWAY, WETUMPKA, AL 36092
(334) 567-7850
(334) 567-7866

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14136
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000082028
AL
Enumeration date
06/14/2006
Last updated
10/12/2011
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