Individual
MEL O COLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NBC-HIS
Contact information
Practice address
1310 BAYTREE RD STE B, VALDOSTA, GA 31602-3265
(229) 259-9200
(229) 259-9003
Mailing address
307 GRAND ISLAND DR, ALBANY, GA 31707-1299
(229) 434-0213
(229) 434-7476
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
456
GA
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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