Provider Demographics
NPI:1972974855
Name:COLEMAN, RONALD SHERMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:SHERMAN
Last Name:COLEMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:343 LEATHA LN NW
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37312-6444
Mailing Address - Country:US
Mailing Address - Phone:423-284-2294
Mailing Address - Fax:
Practice Address - Street 1:343 LEATHA LN NW
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37312-6444
Practice Address - Country:US
Practice Address - Phone:423-284-2294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-17
Last Update Date:2015-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNM14892174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist