NPI Code Details Logo

NPI 1043142250

NPI 1043142250 : VCOLEMAN ENTERPRISE LLC : WOODSTOCK, GA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1043142250
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    VCOLEMAN ENTERPRISE LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/01/2026
-----------------------------------------------------
    Last Update Date     |    06/01/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    235 JORDAN DR 
-----------------------------------------------------
    City                 |    WOODSTOCK
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30188-6526
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    410-844-2067
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    235 JORDAN DR 
-----------------------------------------------------
    City                 |    WOODSTOCK
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30188-6526
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    410-844-2067
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     VICTORIA D. COLEMAN 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    410-844-2067
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    343900000X
-----------------------------------------------------
    Taxonomy Name        |    Non-emergency Medical Transport (VAN)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.