Individual
COLIN PACKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 JOHNSON FY RD NE, ATLANTA, GA 30342-1605
(937) 409-5282
Mailing address
476 WILMER ST NE UNIT 1226, ATLANTA, GA 30308-3027
(937) 409-5282
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
95541
GA
Other
Enumeration date
03/21/2020
Last updated
07/01/2023
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