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Organization

C HEATHER COLSON DMD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CATHERINE HEATHER COLSON HARDY DMD (DENTIST/OWNER)
(229) 242-2449
Entity
Organization

Contact information

Practice address
3000 N PATTERSON ST, VALDOSTA, GA 31602-1711
(229) 242-2449
(229) 242-2699
Mailing address
PO BOX 3816, VALDOSTA, GA 31604-3816
(229) 242-2449
(229) 242-2699

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012998
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1704152
UNTD CONCORDIA DENTAL INS
05
853466232A
GA
Enumeration date
10/25/2005
Last updated
05/07/2012
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