Individual
DR. REGINA NEPOMUCENO COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
204 SHAVER DR, TALBOTT, TN 37877-8552
(423) 581-7040
(423) 581-9563
Mailing address
204 SHAVER DR, TALBOTT, TN 37877-8552
(423) 581-7040
(423) 581-9563
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
29081
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3839137
—
TN
Enumeration date
10/04/2005
Last updated
05/11/2022
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