Colon, Enid
Colon, Enid is an individual health care provider with primary practice located at 205 Waleska Rd Ste 1C , Canton GA 30114-2493. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Colon, Enid can be contacted via phone (770) 345-0055.Contact Information
Primary practice address
205 Waleska Rd Ste 1C
Canton GA 30114-2493
Phone: (770) 345-0055
Fax: (770) 345-0020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 043020 | Georgia |
Profile Details
| NPI number | 1306836747 |
|---|---|
| LBN Legal business name | Colon, Enid |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Mar 7th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306836747 | NPPES |
| Georgia | Other | 43020 | MEDICAL LICENSE |
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