Individual
RAISA MARY COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2467 GOLDEN CAMP RD, AUGUSTA, GA 30906-5515
(706) 790-4440
Mailing address
2467 GOLDEN CAMP RD, AUGUSTA, GA 30906-5515
(706) 790-4440
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
NP000359
GA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
GAA-NP000359
GA
Other
Enumeration date
11/16/2021
Last updated
10/09/2025
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