Provider Demographics
NPI:1295011146
Name:COLEMAN, SARAH EMILY (PA)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:EMILY
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 OAK HILL BLVD
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30265-2592
Mailing Address - Country:US
Mailing Address - Phone:770-683-5437
Mailing Address - Fax:770-683-3998
Practice Address - Street 1:105 OAK HILL BLVD
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30265-2592
Practice Address - Country:US
Practice Address - Phone:770-683-5437
Practice Address - Fax:770-683-3998
Is Sole Proprietor?:No
Enumeration Date:2011-10-24
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2213363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant