Colgrove, Robert Alton

Colgrove, Robert Alton is an individual health care provider with primary practice located at 4300 Paces Ferry Rd Se Suite 478, Atlanta GA 30339-5703. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Colgrove, Robert Alton can be contacted via phone (770) 432-2191.

Contact Information

Primary practice address
4300 Paces Ferry Rd Se Suite 478 Atlanta GA 30339-5703
Phone: (770) 432-2191
Fax: (770) 432-1737
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 028750 Georgia

Profile Details

NPI number 1487731121
LBN Legal business name Colgrove, Robert Alton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jun 2nd, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487731121 NPPES
Georgia MEDICAID 00339127A

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