Individual provider · Type 1 NPI

Shundobie T. Coleman

Contractor · Jackson, MS

NPI number 1275939639 Active

Practice location

199 Raymond Rd Ste D
Jackson, MS 39204-2864

Fax (800) 313-1036

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XNone listed
Driver 172A00000XNone listed

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1275939639

Shundobie T. Coleman's National Provider Identifier is 1275939639, issued on Nov 13, 2014. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Jackson, MS. The record was last updated on Sep 21, 2016.