Individual
COLLEEN MARIE KERRIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
303 HARRIS INDUSTRIAL BLVD STE 5, VIDALIA, GA 30474-8854
(770) 710-6712
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9282
GA
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
04/30/2019
Last updated
07/03/2019
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