Individual
TANTE COLQUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
228 E POPLAR ST STE C, GRIFFIN, GA 30224-3401
(678) 588-0728
Mailing address
228 E POPLAR ST STE C, GRIFFIN, GA 30224-3401
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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