Colony Medical Associates PC

NPI #1942312319 in Fitzgerald, Georgia

Provider Information

NPI Number: 1942312319
Entity Type: Organization
Organization Name: Colony Medical Associates PC
Primary Specialty: Specialist
Enumeration Date: Aug 31, 2006
Last Updated: Jan 29, 2014

Practice Location

Address: 110 NORMAN DORMINY DR
Address 2: SUITE B
City: Fitzgerald
State: Georgia
ZIP Code: 31750-8858
Phone: (229) 423-2058

Authorized Official

Name: MRS. MYRA D GRIFFIN
Title: OFFICE MANAGER
Phone: (229) 423-2058

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary
Nurse Practitioner - Family — Family	363LF0000X

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