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Individual

LOREN K COLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
425 FOREST PKWY STE 101, FOREST PARK, GA 30297
(404) 363-9944
(404) 363-9951
Mailing address
425 FOREST PKWY, SUITE 101, FOREST PARK, GA 30297-2185
(404) 363-9944
(404) 363-9951

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD000995
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
318905630A
GA
Enumeration date
12/23/2005
Last updated
07/23/2018
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