Colon, Raisa Mary

Colon, Raisa Mary is an individual health care provider with primary practice located at 2467 Golden Camp Rd , Augusta GA 30906-5515. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Colon, Raisa Mary can be contacted via phone (706) 790-4440.

Contact Information

Primary practice address
2467 Golden Camp Rd Augusta GA 30906-5515
Phone: (706) 790-4440
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X NP000359 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X GAA-NP000359 Georgia

Profile Details

NPI number 1104582931
LBN Legal business name Colon, Raisa Mary
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2021
Last updated May 11th, 2023 - about last year

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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