Individual
BETSY JANICE COLQUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
675 HAMILTON ST, SPARTA, GA 31087-1837
(706) 444-5242
(706) 444-7302
Mailing address
279 NAPIER RD, EATONTON, GA 31024-6832
(478) 968-7776
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN084987
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN084987
FNP-C
GA
Enumeration date
06/09/2017
Last updated
11/15/2017
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