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Contact Information

CHARLES T COLBERT JR, C.S.T./C.F.A.
6525 PROFESSIONAL PL
SUITE A
RIVERDALE, GA30274-2519
 Phone: 770-991-1150
 Fax: 770-991-1155
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Assistant

246ZC0007X
Indicates primary specialty

NPI Profile & details for CHARLES T COLBERT JR · (Male)

NPI # 1770709628
Status Active
Credentials C.S.T./C.F.A.
Entity Individual
Enumeration date 04/18/2007
Last updated 03/02/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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