Individual
MARCUS HENRY COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 1ST ST E, CONOVER, NC 28613-1715
(828) 464-3821
(828) 464-8994
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-1331
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5015389
NC
363LF0000X
Family Nurse Practitioner
COLO-3HJ1O
NC
Other
Enumeration date
11/17/2021
Last updated
12/16/2022
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