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 1:145 CRAINES VW
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30014-7651
Mailing Address - Country:US
Mailing Address - Phone:404-276-5919
Mailing Address - Fax:
Practice Address - Street 1:2663 EASTERLY PL
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30035-4004
Practice Address - Country:US
Practice Address - Phone:770-981-5511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-30
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA08505363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant