Johnny Keith Coleman, P.A.-C.
NPI #1174558845 in Fortuna, California
Provider Information
- NPI Number
- 1174558845
- Entity Type
- Individual
- Name
- Johnny Keith Coleman, P.A.-C.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Primary Care
- Credential
- P.A.-C.
- Enumeration Date
- Jul 11, 2006
- Last Updated
- Jun 30, 2015
Practice Location
- Address
- 3302 RENNER DR
- City
- Fortuna
- State
- California
- ZIP Code
- 95540-7103
- Phone
- (707) 725-3318
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Primary Care — Primary Care |
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