COLEMAN FARR

JACKSON, MS
NPI1316370356
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MS  R858106)
Enumeration Date2013-08-13
Last Update Date2014-12-30
Business Address
-- COLEMAN FARR NP-C
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5650
Mailing Address
-- COLEMAN FARR NP-C
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5650