Dr. Richard B Colditz
Gynecologist
150 Henry Burson Dr., Ste. # 215
Carrollton
, Georgia 30117
Dr. Richard B Colditz
Gynecologist
150 Henry Burson Dr., Ste. # 215
Carrollton
, Georgia 30117
(770) 214-2124
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- Dr. Richard B Colditz
- 150 Henry Burson Dr., Ste. # 215
- Carrollton, GA
- Zip : 30117
- Fax : (770) 214-2124
- Phone : (770) 214-2121
Second Address
- Dr. Richard B Colditz
- 150 Henry Burson Dr., Ste. # 215
- Carrollton, GA
- Zip : 30117
- Fax : (770) 214-2124
- Phone : (770) 214-2121
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | 010893 | GA |
National Provider Identifier
| NPI | 1083644199 |
|---|---|
| Provider Name | Dr. Richard B Colditz |
| First Address | Carrollton, GA 30117 |
| Second Address | Carrollton, GA 30117 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/07/2006 |
| Last Update Date | 28/02/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000009215B | (05) | GA |
| D29159 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.