Ovynel Colon, DC
Individual provider Active NPI Chiropractor · Chamblee, GA
NPI 1841026366 · NPPES record last updated Sep 11, 2024
Key facts
- NPI
- 1841026366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CHIR011237 (GA)
- Practice address
- 4775 Buford Hwy Ste 102
Chamblee, GA 30341-3722 - Phone
- (404) 964-4985
- NPI assigned
- Sep 11, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR011237 | GA | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR011237 | GA | Yes |
Addresses
Primary practice location
4775 Buford Hwy Ste 102
Chamblee, GA 30341-3722
Mailing address
4775 Buford Hwy Ste 102
Chamblee, GA 30341-3722
Other providers in Chamblee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.