Individual
JORGE E RIVERA-KOLB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1008 MEADOW SPRINGS DR SW, CONYERS, GA 30094-5768
(770) 648-6207
Mailing address
1008 MEADOW SPRINGS DR SW, CONYERS, GA 30094-5768
(770) 648-6207
Taxonomy
Speciality
Code
Description
License number
State
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
Primary
28360
GA
Other
Enumeration date
05/01/2007
Last updated
10/24/2008
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