Individual
MRS. COLETTE OSBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2263 PIKEWOOD LN SW # NA, AUSTELL, GA 30106-1612
(404) 933-0405
Mailing address
2263 PIKEWOOD LN SW # NA, AUSTELL, GA 30106-1612
(404) 933-0405
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
052341476
GA
Other
Enumeration date
08/10/2019
Last updated
08/10/2019
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