Individual
BRAXTON N COLVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 778-8397
Mailing address
1005 COLEMAN ST SW, ATLANTA, GA 30310-3103
(865) 978-0760
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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