Individual
DR. JAMIE JONES COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
401 E CHESTNUT ST UNIT 710, LOUISVILLE, KY 40202-5707
(502) 583-8303
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01071263A
IN
208600000X
Surgery Physician
125050104
IL
2086S0102X
Surgical Critical Care Physician
01071263A
IN
2086S0102X
Surgical Critical Care Physician
Primary
55920
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000791124
ANTHEM PIN
IN
05
—
201077840
—
IN
Enumeration date
06/23/2008
Last updated
10/05/2021
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