Individual
JERRY COLEMAN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P
Contact information
Practice address
2305 CHAMBLISS AVE NW, CLEVELAND, TN 37311-3847
(423) 559-6000
Mailing address
2305 CHAMBLISS AVE NW, CLEVELAND, TN 37311-3847
(423) 559-6000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
18803
TN
Other
Enumeration date
06/27/2014
Last updated
06/27/2014
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