Individual
KENT DWAYNE COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
319 E EATON ST, TRENTON, TN 38382-1806
(731) 200-9050
Mailing address
319 E EATON ST, TRENTON, TN 38382-1806
(731) 200-9050
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5922
TN
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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