Individual
JOSEPH COLBERT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MEDICAL SUPPLIER
Contact information
Practice address
305 KALEB CT, MCDONOUGH, GA 30253-7472
(678) 708-3203
Mailing address
305 KALEB CT, MCDONOUGH, GA 30253-7472
(678) 708-3203
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/24/2016
Last updated
10/04/2016
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