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Contact Information

WALLACE COLEMAN
2403 OSLER COURT
SUITE B
ALBANY, GA31707
 Phone: 229-639-3135
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for WALLACE COLEMAN · (Male)

NPI Number 1669941035
Status Active
Credentials
Entity Individual
Enumeration date 11/15/2018
Last updated 11/21/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • GA License # LPC010234
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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