NPI 1003418302

Alexis Leigh Coleman, PA

Practitioner Medical Physician Assistant South Boston, VA

Practice location

Address: 2210 Wilborn Ave, South Boston, VA 24592-1630
Phone: (941) 740-1946
Mailing address: 203 Hull St APT 4a, Richmond, VA 23224-4275

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X

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Registry record

NPI: 1003418302
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Nov 2020
Record last updated: 29 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.