Healthcare Provider Details
I. General information
NPI: 1649538570
Provider Name (Legal Business Name): KARA L COLEMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/28/2012
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
311 W 8TH ST NE
ROME GA
30165-2797
US
IV. Provider business mailing address
311 W 8TH ST NE
ROME GA
30165-2797
US
V. Phone/Fax
- Phone: 706-291-2430
- Fax: 706-290-0201
- Phone: 706-291-2430
- Fax: 706-290-0201
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207ZH0000X |
| Taxonomy | Hematology (Pathology) Physician |
| License Number | 78691 |
| License Number State | GA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207ZH0000X |
| Taxonomy | Hematology (Pathology) Physician |
| License Number | MD.36213 |
| License Number State | AL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207ZP0102X |
| Taxonomy | Anatomic Pathology & Clinical Pathology Physician |
| License Number | MD.36213 |
| License Number State | AL |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207ZP0102X |
| Taxonomy | Anatomic Pathology & Clinical Pathology Physician |
| License Number | 78691 |
| License Number State | GA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: