Hall, Juawana Coleman

Hall, Juawana Coleman is an individual health care provider with primary practice located at 2341 Winterhaven Ln , Winston Salem NC 27103-6792. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Hall, Juawana Coleman can be contacted via phone (336) 760-2020.

Contact Information

Primary practice address
2341 Winterhaven Ln Winston Salem NC 27103-6792
Fax: (336) 310-0010
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2000 North Carolina

Profile Details

NPI number 1659359537
LBN Legal business name Hall, Juawana Coleman
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Jun 1st, 2009 - about 17 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 1659359537 NPPES
North Carolina MEDICAID 5902677

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