Individual
SHARON D COLVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2501 N PATTERSON ST, VALDOSTA, GA 31602-1735
(229) 333-1000
Mailing address
PO BOX 402059, EMERGENCY MEDICINE SOUTH LLC, ATLANTA, GA 30384-2059
(229) 333-1000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
37179
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
728247
BLUE CROSS BLUE SHIELD
GA
Enumeration date
03/10/2006
Last updated
03/03/2008
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