Individual
ZARA COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10110 CLEMSON BLVD, SENECA, SC 29678-0812
(864) 482-3148
(864) 482-0505
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6306
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1908
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4697
—
SC
Enumeration date
03/21/2013
Last updated
07/08/2016
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