Individual
SAMUEL CONSTANTINE COLACHIS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2050 KENNY RD, COLUMBUS, OH 43221-3502
(614) 366-9211
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 366-9211
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35052282C
OH
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
35052282C
OH
Other
Enumeration date
09/27/2006
Last updated
01/02/2025
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