Individual
MACY TIATTI COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(084) 336-6618
(808) 433-1551
Mailing address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 433-6661
(808) 433-1551
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
1174419
TX
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/10/2020
Last updated
10/31/2025
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