Coleman, Maria Teresa A

Coleman, Maria Teresa A is an individual health care provider with primary practice located at 236 Arrowhead Blvd , Jonesboro GA 30236-1106. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Coleman, Maria Teresa A can be contacted via phone (770) 478-9240.

Contact Information

Primary practice address
236 Arrowhead Blvd Jonesboro GA 30236-1106
Fax: (770) 478-0318
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 051305 Georgia

Profile Details

NPI number 1306845490
LBN Legal business name Coleman, Maria Teresa A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306845490 NPPES
Georgia MEDICAID 00973332A

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