Individual
JENNIFER R COLEMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PAAA MMSC
Contact information
Practice address
4575 NORTH SHALLOWFORD ROAD, DUNWOODY, GA 30338
(770) 454-4286
(770) 454-4065
Mailing address
PO BOX 70128, MARIETTA, GA 30007-0128
(770) 578-1800
(770) 578-6168
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
002421
GA
Other
Enumeration date
05/24/2006
Last updated
07/08/2007
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