Individual
MR. JACOB MICHAEL COLQUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
510 ALSTON ST, RICHLAND, GA 31825-6012
(229) 887-3324
Mailing address
510 ALSTON ST, RICHLAND, GA 31825-6012
(229) 887-3324
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN287529
GA
363LF0000X
Family Nurse Practitioner
Primary
APRN-NP287529
GA
363LF0000X
Family Nurse Practitioner
RN287529
GA
Other
Enumeration date
02/24/2026
Last updated
03/02/2026
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