NPI 1255987830

Colette Osborne

Practitioner Driver Austell, GA

Practice location

Address: 2263 Pikewood Ln SW # Na, Austell, GA 30106-1612
Phone: (404) 933-0405

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 052341476 (GA)

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Registry record

NPI: 1255987830
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Aug 2019
Record last updated: 10 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.