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NPI Code Detail

MEDICARE: COLEMAN ENTERPRISES & ASSOCIATES, INC

MEDICARE: COLEMAN ENTERPRISES & ASSOCIATES, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251V00000XVoluntary or Charitable Agency09016785GA

General Provider Information

NPI Number : 1316388457
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLEMAN ENTERPRISES & ASSOCIATES, INC
Provider Business Mailing Address
First Line : PO BOX 258
Second Line :
City : MORROW
State : GA
Zip : 30260-0258
Country : US
Telephone Number : 404-664-6183
Fax Number :
Provider Business Practice Location Address
First Line : 6728 CHESEPEAKE TRL
Second Line :
City : REX
State : GA
Zip : 30273-2229
Country : US
Telephone Number : 404-664-6183
Fax Number :
Authorized Official
Title or Position : CEO
Name : ALCENIA COLEMAN
Credential : RN
Telephone Number : 404-664-6183
Provider Enumeration Date : 07/16/2013
Last Update Date : 07/16/2013

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Directions to “COLEMAN ENTERPRISES & ASSOCIATES, INC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.