Individual
DR. COLIN EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1430 JOHN WESLEY GILBERT DR, AUGUSTA, GA 30912-0001
(706) 721-2151
Mailing address
1430 JOHN WESLEY GILBERT DR, AUGUSTA, GA 30912-0001
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
DEN-DEN-LIC-13512
MT
Other
Enumeration date
08/12/2017
Last updated
07/19/2023
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