Doctor Name: | ANGELICA LAUREN COLEMAN |
NPI Number: | 1134505993 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | RN215693 |
Business Practice Address: | 2805 Hamilton Mill Rd Buford, GA - 305194110 |
Business Phone Number: | 6785410588 |
Business Fax Number: | |
Mailing Address: | 2805 Hamilton Mill Rd, BUFORD |
State: | GA |
Postal Code: | 305194110 |
Phone Number: | 6785410588 |
Fax Number: | |
NPI Enumeration Date: | 08/04/2015 |
NPI Last Update Date: | 08/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN215693 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |