Coleman, Charles Hamilton

Coleman, Charles Hamilton is an individual health care provider with primary practice located at 4350 Towne Centre Dr Ste 2200 , Evans GA 30809-3346. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Coleman, Charles Hamilton can be contacted via phone (706) 722-0705.

Contact Information

Primary practice address
4350 Towne Centre Dr Ste 2200 Evans GA 30809-3346
Fax: (762) 333-0496
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 18633 Georgia

Profile Details

NPI number 1164457180
LBN Legal business name Coleman, Charles Hamilton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jan 28th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164457180 NPPES
Georgia MEDICAID 00153271B2

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