MEDICARE: DR. NICK EDWARD COLOVOS 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	207P00000X	Emergency Medicine Physician	72520	GA

General Provider Information

NPI Number	:	1780684282
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NICK EDWARD COLOVOS MD

Provider Business Mailing Address
First Line	:	1 COCA COLA PLZ NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30313-2420
Country	:	US
Telephone Number	:	404-778-7777
Fax Number	:	404-515-4023

Provider Business Practice Location Address
First Line	:	1 COCA COLA PLZ NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30313-2420
Country	:	US
Telephone Number	:	404-778-7777
Fax Number	:	404-515-4023

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

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	12/02/2015

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Directions to “ DR. NICK EDWARD COLOVOS MD” Practice Location

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