Individual
DR. JACOB CHARLES COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6060 PIEDMONT ROW DR S FL 6, CHARLOTTE, NC 28287-3884
(704) 495-6334
Mailing address
5960 FAIRVIEW RD STE 500, CHARLOTTE, NC 28210-3113
(704) 495-6334
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2009-00032
NC
207R00000X
Internal Medicine Physician
86868
SC
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
2009-00032
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649455353
—
NC
05
—
5911622
—
NC
05
—
Q0003H
—
SC
Enumeration date
01/02/2008
Last updated
05/06/2026
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