Provider Demographics
NPI:1205009347
Name:COLEMAN, ZEUDIANN LP (DC)
Entity Type:Individual
Prefix:
First Name:ZEUDIANN
Middle Name:LP
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 WOODBOURNE DR SW
Mailing Address - Street 2:1-B
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30310-4607
Mailing Address - Country:US
Mailing Address - Phone:678-754-6877
Mailing Address - Fax:
Practice Address - Street 1:833 WOODBOURNE DR SW
Practice Address - Street 2:1-B
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30310-4607
Practice Address - Country:US
Practice Address - Phone:678-754-6877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA008001111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor