Individual
DR. ROBERT ALTON COLGROVE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4300 PACES FERRY RD SE, SUITE 478, ATLANTA, GA 30339-5703
(770) 432-2191
(770) 432-1737
Mailing address
1900 THE EXCHANGE SE, BLDG 300, STE 300, ATLANTA, GA 30339
(770) 955-9000
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
028750
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00339127A
—
GA
Enumeration date
11/01/2006
Last updated
06/02/2017
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