HERBERT ROSWELL COLCORD
Individual Provider (NPI-1)
Active
Nurse Practitioner, Primary Care
Provider Information
- NPI Number
1770065815- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3015 LEXINGTON RD, ATHENS, GA, 306052491
- Phone
- (706) 613-3270
Specialties & Taxonomies
Nurse Practitioner, Primary Care
Primary License: GA #RN167054