Colagross, Christy Dawn
Colagross, Christy Dawn is an sole proprietor health care provider with primary practice located at 9559 Highway 5 Ste 204 , Douglasville GA 30135-1517. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Colagross, Christy Dawn can be contacted via phone (770) 920-9778.Contact Information
Primary practice address
9559 Highway 5 Ste 204
Douglasville GA 30135-1517
Phone: (770) 920-9778
Fax: (770) 920-2815
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 4795 | Georgia |
Profile Details
NPI number | 1972669935 |
---|---|
LBN Legal business name | Colagross, Christy Dawn |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 27th, 2006 |
Last updated | Dec 11th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1972669935 | NPPES |
Georgia | MEDICAID | 000807991B |
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