Individual
DR. MYLENE COLUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5354 REYNOLDS ST STE 424, SAVANNAH, GA 31405-6011
(912) 819-5999
(912) 819-5980
Mailing address
5354 REYNOLDS ST STE 424, SAVANNAH, GA 31405-6011
(912) 819-5999
(912) 819-5980
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
102233
GA
207RP1001X
Pulmonary Disease Physician
226904
NY
207RP1001X
Pulmonary Disease Physician
ME162038
FL
208M00000X
Hospitalist Physician
ME162038
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
226904
LICENSE
NY
Enumeration date
04/12/2007
Last updated
01/27/2025
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