Individual
DR. GARRISON KENDAL COLVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1585 3RD ST, FORT JOHNSON, LA 71459-5102
(337) 531-0289
Mailing address
6618 JORDAN CT APT B, FORT JOHNSON, LA 71459-3282
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
34504
WV
Other
Enumeration date
06/30/2023
Last updated
11/04/2024
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