| John H. Coleman,pllc | |
|
1162 S Line St Grenada MS 38901-4239 | |
| (662) 226-0585 | |
| (662) 226-0586 |
| Full Name | John H. Coleman,pllc |
|---|---|
| Speciality | Dentist |
| Location | 1162 S Line St, Grenada, Mississippi |
| Authorized Official Name and Position | John H. Coleman (DENTIST) |
| Authorized Official Contact | 6622260585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John H. Coleman,pllc 1162 S Line St Grenada MS 38901-4239 Ph: (662) 226-0585 | John H. Coleman,pllc 1162 S Line St Grenada MS 38901-4239 Ph: (662) 226-0585 |
| NPI Number | 1801192158 |
|---|---|
| Provider Enumeration Date | 02/03/2011 |
| Last Update Date | 02/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801192158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 196682 (Mississippi) | Primary |
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