Organization
A TRAVELING HEART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TABRIA COLSTON TABRIA COLSTON (NURSE PRACTITIONER)
(470) 631-4035
Entity
Organization
Contact information
Practice address
9190 GALLITIN DR SW, COVINGTON, GA 30014-3034
(470) 631-4035
Mailing address
9190 GALLITIN DR SW, COVINGTON, GA 30014-3034
(470) 631-4035
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/12/2020
Last updated
04/27/2021
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