Individual
ALISON N COLQUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AAPA
Contact information
Practice address
1359 MILSTEAD RD NE, SUITE 103, CONYERS, GA 30012-3865
(770) 388-7745
(770) 922-0526
Mailing address
PO BOX 1078, CONYERS, GA 30012-1078
(770) 388-7745
(770) 922-0526
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
003505
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001305A
—
GA
Enumeration date
02/21/2006
Last updated
11/19/2010
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