Individual
KATHLEEN DICKENS COLSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 EXECUTIVE PARK DR NE, ATLANTA, GA 30329-2206
(404) 778-7777
Mailing address
1468 BRIARWOOD RD NE UNIT 1505, BROOKHAVEN, GA 30319-5743
(706) 429-5721
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN216129
GA
Other
Enumeration date
07/19/2019
Last updated
07/29/2019
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