Individual
CHARLES CALVIN COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1542 TULANE AVE DEPT OF, NEW ORLEANS, LA 70112-2865
(504) 896-7790
(504) 896-7273
Mailing address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 896-7790
(504) 896-7273
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
12767
GA
2084P0800X
Psychiatry Physician
Primary
201352
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013471
—
LA
Enumeration date
02/02/2007
Last updated
07/12/2021
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