Individual provider · Type 1 NPI

Carla Jean Colasurdo, DO

Student in an Organized Health Care Education/Training Program · Augusta, GA

NPI number 1629770565 Active

Practice location

1120 15th St
Augusta, GA 30912-0004

Mailing address

1230 Baxter St
Athens, GA 30606-3712

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1629770565

Carla Jean Colasurdo, DO's National Provider Identifier is 1629770565, issued on Mar 21, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Augusta, GA. The record was last updated on Jun 21, 2026.