MR. Charles Truman Colbert JR., C.S.T./C.F.A.

NPI #1770709628 in Riverdale, Georgia

Provider Information

NPI Number: 1770709628
Entity Type: Individual
Name: MR. Charles Truman Colbert JR., C.S.T./C.F.A.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist/Technologist, Other - Surgical Assistant
Credential: C.S.T./C.F.A.
Enumeration Date: Apr 18, 2007
Last Updated: Mar 2, 2009

Practice Location

Address: 6525 PROFESSIONAL PL
Address 2: SUITE A
City: Riverdale
State: Georgia
ZIP Code: 30274-2519
Phone: (770) 991-1150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist, Other - Surgical Technologist — Surgical Technologist	246ZS0410X
Specialist/Technologist, Other - Surgical Assistant — Surgical Assistant	246ZC0007X	Primary

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Organizations

Provider Name	Specialty	City
A to Z Surgical 1st Assisting	Specialist/Technologist, Other - Surgical Assistant	Riverdale	AI Deep Dive

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