Individual
COLBY ANN GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1631 GORDON HWY STE 17A, AUGUSTA, GA 30906-2229
(706) 230-7006
(762) 257-7442
Mailing address
PO BOX 740015, ATLANTA, GA 30374-0015
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28238646A
IN
363LF0000X
Family Nurse Practitioner
71011172A
IN
363LF0000X
Family Nurse Practitioner
Primary
RN328554
GA
Other
Enumeration date
02/25/2021
Last updated
07/01/2024
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