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1760584981
COLEMAN S FRAVEL
COLUMBIA, SC
NPI
1760584981
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: SC 552)
Enumeration Date
2006-09-01
Last Update Date
2018-09-06
Business Address
COLEMAN S FRAVEL P.A.
3 RICHLAND MEDICAL PARK DR STE 310
COLUMBIA, SC 29203
Phone number: 803-434-8323
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Mailing Address
COLEMAN S FRAVEL P.A.
PO BOX 743904
ATLANTA, GA 30374-3904
Phone number: 803-296-7320
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