Provider Demographics
NPI:1376648758
Name:RAMIREZ, COLIN E (MD)
Entity Type:Individual
Prefix:DR
First Name:COLIN
Middle Name:E
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 CARLTON ST
Mailing Address - Street 2:UNIVERSITY HEALTH CENTER
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30602-1503
Mailing Address - Country:US
Mailing Address - Phone:706-542-8654
Mailing Address - Fax:706-583-0393
Practice Address - Street 1:55 CARLTON ST
Practice Address - Street 2:UNIVERSITY HEALTH CENTER
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30602-1503
Practice Address - Country:US
Practice Address - Phone:706-542-8654
Practice Address - Fax:706-583-0393
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101043189208000000X
GA72423208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice