MEDICARE: CAROLINA B COLEMAN

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
1	104100000X	Social Worker	7314G	AL

General Provider Information

NPI Number	:	1760337877
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINA B COLEMAN

Provider Business Mailing Address
First Line	:	109 FOOTHILLS PKWY STE 113
Second Line	:
City	:	CHELSEA
State	:	AL
Zip	:	35043-8236
Country	:	US
Telephone Number	:	205-618-9899
Fax Number	:	205-618-9706

Provider Business Practice Location Address
First Line	:	3400 HIGHWAY 78 E STE 200
Second Line	:
City	:	JASPER
State	:	AL
Zip	:	35501-8950
Country	:	US
Telephone Number	:	205-512-1015
Fax Number	:	205-618-9706

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

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Directions to “ CAROLINA B COLEMAN ” Practice Location

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