Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | PENDING | GA |
NPI | 1326333402 |
---|---|
Provider Name | Dr. Michelle Coleman |
First Address | Atlanta, GA 30329-2248 |
Second Address | Atlanta, GA 30329-2248 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2011 |
Last Update Date | 14/10/2020 |