Individual
DR. ALCENIA COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PHD
Contact information
Practice address
6728 CHESEPEAKE TRL, REX, GA 30273-2229
(404) 664-6183
Mailing address
PO BOX 258, MORROW, GA 30260-0258
(404) 664-6183
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN163373
GA
163WM0102X
Maternal Newborn Registered Nurse
RN163373
GA
163WP1700X
Perinatal Registered Nurse
RN163373
GA
172V00000X
Community Health Worker
RN163373
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
785298162A
—
GA
Enumeration date
11/20/2006
Last updated
07/15/2013
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