Individual
CARLA J COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
3477 MUSTANG DR, POWDER SPRINGS, GA 30127-2127
(770) 369-4707
Mailing address
3477 MUSTANG DR, POWDER SPRINGS, GA 30127-2127
(770) 369-4707
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN229541
GA
163WH0200X
Home Health Registered Nurse
RN229541
GA
Other
Enumeration date
05/17/2013
Last updated
05/17/2013
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