HERBERT ROSWELL COLCORD

ATHENS, GA
NPI1770065815
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: GA  RN167054)
Enumeration Date2018-09-05
Last Update Date2018-09-05
Business Address
HERBERT ROSWELL COLCORD
3015 LEXINGTON RD
ATHENS, GA 30605-2491
Phone number: 706-613-3270
Mailing Address
HERBERT ROSWELL COLCORD
4621 BENTLEY PL
PEACHTREE CORNERS, GA 30096-6128
Phone number: 404-731-3866
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