Individual
DR. ENID COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
205 WALESKA RD STE 1C, CANTON, GA 30114-2493
(770) 345-0055
(770) 345-0020
Mailing address
11770 HAYNES BRIDGE RD STE 205, ALPHARETTA, GA 30009-1968
(770) 345-0055
(770) 345-0020
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
043020
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43020
MEDICAL LICENSE
GA
Enumeration date
10/26/2005
Last updated
03/07/2023
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