| Doug Coleman, MD PA | |
|
1400 Claud Rd White Hall AR 71602-8622 | |
| (870) 247-9499 | |
| (870) 247-5312 |
| Full Name | Doug Coleman, MD PA |
|---|---|
| Speciality | Family Medicine |
| Location | 1400 Claud Rd, White Hall, Arkansas |
| Authorized Official Name and Position | Cindy M Livingston (CLINIC MANAGER) |
| Authorized Official Contact | 8702479499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doug Coleman, MD PA 1400 Claud Rd White Hall AR 71602-8622 Ph: (870) 247-9499 | Doug Coleman, MD PA 1400 Claud Rd White Hall AR 71602-8622 Ph: (870) 247-9499 |
| NPI Number | 1386897312 |
|---|---|
| Provider Enumeration Date | 11/04/2008 |
| Last Update Date | 10/02/2020 |
| Certification Date | 10/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386897312 | NPI | - | NPPES |
| 124701001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MC1662 (Arkansas) | Primary |
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