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:
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Health care specialties

SpecialtyCodeLicense #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 8 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 1407833015 NPPES
Georgia MEDICAID 510199753A
Georgia MEDICAID 510199753B

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