Colon, Marieli A
Colon, Marieli A is an individual health care provider with primary practice located at 425 Forest Pkwy Ste 101 , Forest Park GA 30297. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as her primary health care specialty. Colon, Marieli A can be contacted via phone (404) 363-9944.Contact Information
Primary practice address
425 Forest Pkwy Ste 101
Forest Park GA 30297
Phone: (404) 363-9944
Fax: (404) 363-9951
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 000996 | Georgia |
Profile Details
| NPI number | 1407833015 |
|---|---|
| LBN Legal business name | Colon, Marieli A |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 23rd, 2005 |
| Last updated | Jul 23rd, 2018 - about 6 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 | 1407833015 | NPPES |
| Georgia | MEDICAID | 510199753A | |
| Georgia | MEDICAID | 510199753B |
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