Individual
TONNA L COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
114 GATEWAY CORPORATE BLVD STE 350, COLUMBIA, SC 29203-9785
(843) 792-1414
Mailing address
PO BOX 23321, NEW YORK, NY 10087-3321
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
TL1668
SC
Other
Enumeration date
08/16/2011
Last updated
10/05/2022
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