Organization
J DEWAYNE COLQUITT MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES DEWAYNE COLQUITT M.D. (OWNER)
(404) 735-0208
Entity
Organization
Contact information
Practice address
35 COLLIER RD NW STE 675, ATLANTA, GA 30309-1612
(404) 355-9255
(404) 355-5822
Mailing address
1173 CITADEL DR NE, ATLANTA, GA 30324-3815
(404) 355-9255
(404) 355-5822
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
11/02/2015
Last updated
11/12/2015
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