Provider Demographics
NPI:1548772536
Name:COLZIE, D'NEKA (MPA-C)
Entity Type:Individual
Prefix:MISS
First Name:D'NEKA
Middle Name:
Last Name:COLZIE
Suffix:
Gender:F
Credentials:MPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 HILLANDALE DR STE 115
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-4858
Mailing Address - Country:US
Mailing Address - Phone:470-268-2875
Mailing Address - Fax:
Practice Address - Street 1:6000 HILLANDALE DR STE 115
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30058-4858
Practice Address - Country:US
Practice Address - Phone:470-268-2875
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-30
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical