Ferdinand, Colville H.

Ferdinand, Colville H. is an individual health care provider with primary practice located at 3647 J Dewey Gray Cir Ste 200 , Augusta GA 30909-2205. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Ferdinand, Colville H. can be contacted via phone (706) 504-9712.

Contact Information

Primary practice address
3647 J Dewey Gray Cir Ste 200 Augusta GA 30909-2205
Phone: (706) 504-9712
Fax: (706) 504-9703
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 53439 Georgia
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 53439 Georgia

Profile Details

NPI number 1306956842
LBN Legal business name Ferdinand, Colville H.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Oct 8th, 2018 - 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 1306956842 NPPES
Georgia MEDICAID 10001269B
Georgia MEDICAID G53439

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