Individual
ALAN COLVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3500 BUSH ST, RALEIGH, NC 27609-7509
(919) 875-8150
Mailing address
3500 BUSH ST, RALEIGH, NC 27609-7509
(919) 875-8150
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11850
NC
363AM0700X
Medical Physician Assistant
0010-11850
NC
Other
Enumeration date
12/30/2021
Last updated
01/06/2022
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