Individual
DR. BRANDI COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
833 HIGHWAY 90, BAY ST LOUIS, MS 39520-1601
(228) 396-3141
(601) 496-8100
Mailing address
2500 NORTH STATE STREET, JMM SUITE 2525, JACKSON, MS 39216-1810
(601) 815-9528
(601) 984-6439
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
17720
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125851
—
MS
Enumeration date
06/09/2006
Last updated
04/04/2018
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