Provider Demographics
NPI:1447822952
Name:COLEMAN, ERICA MARCITA (CCMA)
Entity type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:MARCITA
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:CCMA
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Other - Credentials:
Mailing Address - Street 1:2337 W BUCKINGHAM RD APT 2078
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75042-4962
Mailing Address - Country:US
Mailing Address - Phone:972-472-4663
Mailing Address - Fax:
Practice Address - Street 1:2337 W BUCKINGHAM RD APT 2078
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-4962
Practice Address - Country:US
Practice Address - Phone:972-472-4663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-14
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy