Individual provider · Type 1 NPI
Ellis Coleman Jr.
General Practice Physician · Alexandria, VA
NPI number
1467203604
Active
Practice location
1010 N Fairfax St # 1016
Alexandria, VA 22314-2070
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | IM1646 (VA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1467203604
Ellis Coleman Jr.'s National Provider Identifier is 1467203604, issued on Mar 27, 2024. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Alexandria, VA. The record was last updated on Mar 27, 2024.