Individual
MS. TRACEY EASLER COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6000
Mailing address
PO BOX 277723, ATLANTA, GA 30384-7723
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21888
SC
Other
Enumeration date
10/12/2012
Last updated
06/24/2019
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