Individual provider · Type 1 NPI
Herbert Roswell Colcord
Primary Care Nurse Practitioner · Athens, GA
NPI number
1770065815
Active
Practice location
3015 Lexington Rd
Athens, GA 30605-2491
Mailing address
4621 Bentley Pl
Peachtree Corners, GA 30096-6128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | RN167054 (GA) |
Primary Care Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1770065815
Herbert Roswell Colcord's National Provider Identifier is 1770065815, issued on Sep 5, 2018. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Athens, GA. The record was last updated on Sep 5, 2018.