Individual
ELIZABETH COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2605 BLUE RIDGE RD STE 230, RALEIGH, NC 27607-6475
(919) 781-1637
Mailing address
2664 TIMBER DR # 198, GARNER, NC 27529-2571
(919) 326-8052
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184
LICENSE#
NC
Enumeration date
11/01/2006
Last updated
07/08/2007
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