Alexis Leigh Coleman, PA
Physician Assistant, Medical in South Boston, VA. Individual provider (NPI-1).
NPI number1003418302
StatusActive
Last updated in NPPESJan 29, 2021
Details
- NPI
- 1003418302
- Entity type
- Individual (NPI-1)
- Name
- Alexis Leigh Coleman
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 11, 2020
- Certification date
- Jan 29, 2021
- Last updated
- Jan 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | – | – | Yes |
Practice location
2210 Wilborn AveSouth Boston, VA 24592-1630
Phone 941-740-1946
Mailing address
203 Hull St Apt 4aRichmond, VA 23224-4275
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