person
Ellis Coleman JR.
General Practice Physician in Alexandria, Virginia
NPI 1467203604

Ellis Coleman JR. is a General Practice Physician based in Alexandria, VA. Ellis Coleman JR. practices in Alexandria, VA. The NPI Number for Ellis Coleman JR. is 1467203604 and holds a License No. IM1646 (Virginia).

The current practice location address for Ellis Coleman JR. is 1010 N Fairfax St # 1016, Alexandria, VA and can be reached out via phone at 703-260-9860.

Location: 1010 N Fairfax St # 1016, Alexandria, VA, 22314-2070
person
Provider Profile Details
NPI Number
1467203604
Provider Name
Ellis Coleman JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1010 N Fairfax St # 1016, Alexandria, VA, 22314-2070
Phone Number
703-260-9860
Fax Number
Provider Enumeration Date
03/27/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1010 N Fairfax St # 1016
City
State
Zip
22314-2070
Phone Number
703-260-9860
Fax Number
person
Provider Business Mailing Address Details
Address
1010 N Fairfax St # 1016
City
State
Zip
22314-2070
Phone Number
703-260-9860
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
IM1646 (Virginia)
Definition
Definition to come...
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