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Colony Medical Associates Pc
Family Nurse Practitioner in Fitzgerald, Georgia
NPI 1942312319

Colony Medical Associates Pc is a Family Nurse Practitioner based in Fitzgerald, GA and is specialized in Family. Colony Medical Associates Pc practices in Fitzgerald, GA. The NPI Number for Colony Medical Associates Pc is 1942312319 and holds a License No. 33123 (Georgia).

The current practice location address for Colony Medical Associates Pc is 110 Norman Dorminy Dr, Fitzgerald, GA and can be reached out via phone at 229-423-2058 and via fax at 229-423-0197.

Location: 110 Norman Dorminy Dr, Fitzgerald, GA, 31750-0929
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942312319
Provider Name
Colony Medical Associates Pc
Credential
Provider Entity Type
Organization
Address
110 Norman Dorminy Dr, Fitzgerald, GA, 31750-0929
Phone Number
229-423-2058
Fax Number
229-423-0197
Provider Enumeration Date
08/31/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
50BBKJP 01 GA MEDICARE
P00232517 01 GA RAILROAD MEDICARE
00427798A 05 GA
500002323 01 GA RAILROAD MEDICARE
CB5821 01 GA RAILROAD MEDICARE GROUP
institution
Provider Business Practice Location Address Details
Address
110 Norman Dorminy Dr
City
Fitzgerald
State
Georgia
Zip
31750-8858
Phone Number
229-423-2058
Fax Number
229-423-0197
person
Provider Business Mailing Address Details
Address
110 Norman Dorminy Dr
City
Fitzgerald
State
Georgia
Zip
31750-8858
Phone Number
229-423-2058
Fax Number
229-423-0197
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
056020 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
33123 (Georgia)
Definition
Definition to come...
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