Individual
ELVING COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
951 S BROAD ST, THOMASVILLE, GA 31792-6161
(229) 228-4130
(229) 226-4690
Mailing address
951 S BROAD ST, THOMASVILLE, GA 31792-6161
(229) 228-4130
(229) 226-4690
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
67205
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003124355A
—
GA
Enumeration date
05/19/2009
Last updated
10/26/2012
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