Colquitt, Alison N

Colquitt, Alison N is an individual health care provider with primary practice located at 1359 Milstead Rd Ne Suite 103, Conyers GA 30012-3865. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as her primary health care specialty. Colquitt, Alison N can be contacted via phone (770) 388-7745.

Contact Information

Primary practice address
1359 Milstead Rd Ne Suite 103 Conyers GA 30012-3865
Phone: (770) 388-7745
Fax: (770) 922-0526
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 003505 Georgia

Profile Details

NPI number 1528033982
LBN Legal business name Colquitt, Alison N
Credentials AAPA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Nov 19th, 2010 - about 14 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 1528033982 NPPES
Georgia MEDICAID 100001305A

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