MEDICARE: MR. JOHN ANDREW COLONA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	0101270577	VA
2	207L00000X	Anesthesiology Physician	LL25048	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205880986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOHN ANDREW COLONA MD

Provider Business Mailing Address
First Line	:	PO BOX 22206
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29413-2206
Country	:	US
Telephone Number	:	843-723-3441
Fax Number	:	843-805-4040

Provider Business Practice Location Address
First Line	:	125 DOUGHTY ST
Second Line	:	STE 420
City	:	CHARLESTON
State	:	SC
Zip	:	29403
Country	:	US
Telephone Number	:	843-723-3441
Fax Number	:	843-805-4040

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	12/17/2025

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