Individual
MR. CHARLES TRUMAN COLBERT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.S.T./C.F.A.
Contact information
Practice address
6525 PROFESSIONAL PL, SUITE A, RIVERDALE, GA 30274-2519
(770) 991-1150
(770) 991-1155
Mailing address
334 DYLAN WAY, MCDONOUGH, GA 30252-6186
(770) 914-1517
(770) 991-1155
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
246ZS0410X
Surgical Technologist
—
—
Other
Enumeration date
04/18/2007
Last updated
03/02/2009
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