Individual
COLLEEN ANN ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
363 TRACE RD, DALLAS, GA 30157-9582
(678) 523-7831
Mailing address
363 TRACE RD, DALLAS, GA 30157-9582
(678) 523-7831
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
223571
GA
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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