Provider Demographics
NPI:1376785394
Name:COLEMAN, JESSICA MCABEE (MD)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:MCABEE
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:AMY
Other - Last Name:MCABEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1115 LEXINGTON AVE.
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31404
Mailing Address - Country:US
Mailing Address - Phone:912-354-4813
Mailing Address - Fax:912-354-7569
Practice Address - Street 1:16 KEMMERLIN LN STE A
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29907-2709
Practice Address - Country:US
Practice Address - Phone:843-524-2002
Practice Address - Fax:843-524-3522
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-06
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA070252207RN0300X
KY44468207RN0300X
SC36141207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology