Individual
AMBER D COLVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1135 OCEAN SPRINGS RD, OCEAN SPRINGS, MS 39564-3421
(228) 875-6695
(228) 875-6696
Mailing address
1135 OCEAN SPRINGS RD, OCEAN SPRINGS, MS 39564-3421
(228) 875-6695
(228) 875-6696
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18422
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02107231
—
MS
01
—
11397919
UNITED HEALTH CARE
MS
01
—
7288627
AETNA
MS
01
—
P00144953
MEDICARE RR
MS
Enumeration date
08/31/2006
Last updated
08/26/2016
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