Individual
MARILYN JOY COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
804 DIXIE ST, CARROLLTON, GA 30117-4416
(770) 834-0606
(770) 834-1833
Mailing address
119 AMBULANCE DR, SUITE 202, CARROLLTON, GA 30117-3857
(770) 834-0606
(770) 834-1833
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
056034
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
698666059C
—
GA
Enumeration date
11/22/2005
Last updated
06/21/2010
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