Individual
DR. RANDALL K COLVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 MAGNOLIA WAY, STE 101, AUGUSTA, GA 30909
(706) 922-6600
(706) 650-0239
Mailing address
PO BOX 2510, EVANS, GA 30809-2510
(706) 922-8251
(706) 922-6695
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
060165
GA
207Q00000X
Family Medicine Physician
Primary
60165
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060165
LICENSE
GA
01
—
60165
LICENSE
GA
05
—
T26638
—
SC
Enumeration date
05/11/2006
Last updated
04/17/2026
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