Coleman, Elizabeth Bernice
Coleman, Elizabeth Bernice is an individual health care provider with primary practice located at 725 Jesse Jewell Pkwy Se , Gainesville GA 30501-3834. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Coleman, Elizabeth Bernice can be contacted via phone (770) 287-3815.Contact Information
Primary practice address
725 Jesse Jewell Pkwy Se
Gainesville GA 30501-3834
Phone: (770) 287-3815
Fax: (770) 287-9689
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN176064 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | RN176064 | Georgia |
Profile Details
| NPI number | 1881033124 |
|---|---|
| LBN Legal business name | Coleman, Elizabeth Bernice |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2013 |
| Last updated | Oct 21st, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881033124 | NPPES |
| Georgia | MEDICAID | 003135123B | |
| Georgia | Other | 904860 | |
| Georgia | MEDICAID | 003135123A | |
| Georgia | MEDICAID | 003135123D | |
| Georgia | MEDICAID | 003135123H | |
| Georgia | MEDICAID | 003135123L | |
| Georgia | MEDICAID | 003135123I | |
| Georgia | Other | 01879953 | |
| Georgia | Other | 202I428873 | |
| Georgia | MEDICAID | 003135123K | |
| Georgia | MEDICAID | 003135123M | |
| Georgia | MEDICAID | 003135123C | |
| Georgia | MEDICAID | 003135123J |
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