Individual
PETER R COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
204 N HAMILTON ST, SUITE B, RICHMOND, VA 23221-2662
(804) 353-1230
(804) 353-3342
Mailing address
204 N HAMILTON ST, SUITE B, RICHMOND, VA 23221-2662
(804) 353-1230
(804) 353-3342
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
0101037152
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760449193
—
VA
01
—
A982
GROUP MEDICARE P-TAN
VA
Enumeration date
04/28/2006
Last updated
06/22/2012
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