Individual
COLM ACUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1455 BATTERSBY AVE, ENUMCLAW, WA 98022-3634
(912) 350-3849
Mailing address
6896 W SNOWVILLE RD, BRECKSVILLE, OH 44141-3214
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
56255
GA
207P00000X
Emergency Medicine Physician
Primary
OP60931223
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
657255344A
PEACH STATE HEALTH PLAN
GA
05
—
657255344A
—
GA
01
—
967531
BLUE CROSS BLUE SHIELD
GA
05
—
G56255
—
SC
01
—
N362160
WELLCARE
GA
Enumeration date
05/13/2006
Last updated
03/07/2023
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