Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 29790 | AL |
N | 111NI0900X | Internist | 29790 | AL |
N | 207RC0000X | Internist - Cardiovascular Disease | 29790 | AL |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 29790 | AL |
NPI | 1033370390 |
---|---|
Provider Name | Corey Mitchell Coleman |
First Address | Birmingham, AL 35235-3411 |
Second Address | Birmingham, AL 35205-1200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2008 |
Last Update Date | 26/04/2017 |