Ellis Coleman JR.
NPI #1467203604 in Alexandria, Virginia
Provider Information
- NPI Number
- 1467203604
- Entity Type
- Individual
- Name
- Ellis Coleman JR.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- General Practice
- Enumeration Date
- Mar 27, 2024
- Last Updated
- Mar 27, 2024
Practice Location
- Address
- 1010 N FAIRFAX ST # 1016
- City
- Alexandria
- State
- Virginia
- ZIP Code
- 22314-2070
- Phone
- (703) 260-9860
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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