Individual
DR. DANIEL COLON-CONDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
455 PHILIP BLVD STE 140, LAWRENCEVILLE, GA 30046-8768
(770) 962-3642
(770) 962-3643
Mailing address
455 PHILIP BLVD STE 140, LAWRENCEVILLE, GA 30046-8768
(770) 962-3642
(770) 962-3643
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
90526
GA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
90526
GA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
ME148033
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2015
Last updated
04/01/2026
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