Provider Demographics
NPI:1720163868
Name:COLEMAN, HOLLY GILREATH (MD)
Entity Type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:GILREATH
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 2511
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30503-2511
Mailing Address - Country:US
Mailing Address - Phone:770-532-9250
Mailing Address - Fax:770-532-4242
Practice Address - Street 1:440 WASHINGTON ST SE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3619
Practice Address - Country:US
Practice Address - Phone:770-532-9250
Practice Address - Fax:770-532-4242
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA046837207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H52815Medicare UPIN