Coleman, Marla O.
Coleman, Marla O. is an individual health care provider with primary practice located at 970 Martin Luther King Jr Dr Sw Suite 301, Atlanta GA 30314-2962. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Coleman, Marla O. can be contacted via phone (404) 523-3153.Contact Information
Primary practice address
970 Martin Luther King Jr Dr Sw Suite 301
Atlanta GA 30314-2962
Phone: (404) 523-3153
Fax: (404) 523-0136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | GA10307 | Georgia |
Profile Details
| NPI number | 1386639284 |
|---|---|
| LBN Legal business name | Coleman, Marla O. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2005 |
| Last updated | Jan 3rd, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386639284 | NPPES |
| Georgia | MEDICAID | 00364823A |
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