Individual
MRS. TAYONA LASALLE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
1053 CROWN LANDING PKWY, MCDONOUGH, GA 30252-8717
(678) 583-1316
(678) 583-1316
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN076716
GA
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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