Individual
WINDY MARIE DEAN-COLOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
775 POPLAR RD STE 130, NEWNAN, GA 30265-8307
(770) 400-4720
Mailing address
PO BOX 102231, ATLANTA, GA 30368-2231
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200756
LA
207R00000X
Internal Medicine Physician
88802
GA
207RH0003X
Hematology & Oncology Physician
31013
AL
207RX0202X
Medical Oncology Physician
Primary
88802
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192741001
—
TX
01
—
8AT651
BLUE SHIELD
TX
Enumeration date
05/10/2006
Last updated
07/15/2021
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