Individual
MRS. WINNIE HIBBLER COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
216 FRONT STREET EXT, 74 BEAVERDAM ROAD, INDIANOLA, MS 38751-2861
(662) 207-9432
Mailing address
74 BEAVERDAM RD, INDIANOLA, MS 38751-2655
(662) 207-9432
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MS
Other
Enumeration date
09/17/2012
Last updated
12/16/2014
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