Basic Information
| Provider Information | |||||||||
| NPI: | 1003806928 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ALTMAN | ||||||||
| FirstName: | COLEMAN | ||||||||
| MiddleName: | ERIC | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2630 E SEVENTH ST | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282044318 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7043646110 | ||||||||
| FaxNumber: | 7043644245 | ||||||||
| Practice Location | |||||||||
| Address1: | 2630 E SEVENTH ST | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282044318 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7043646110 | ||||||||
| FaxNumber: | 7043644245 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/21/2005 | ||||||||
| LastUpdateDate: | 04/29/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207N00000X | 9900747 | NC | Y | Allopathic & Osteopathic Physicians | Dermatology |
No ID Information.