CARLA JEAN COLASURDO DO
NPI 1629770565
Student in an Organized Health Care Education/Training Program in Augusta, GA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 21, 2023

1120 15TH ST, AUGUSTA, GA 30912(706) 721-2273 Get Directions Write a Review

NPPES record last updated: June 21, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 6, 2026, Mar 21, 2023 (2 updates tracked since 2023).

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About Carla Jean Colasurdo Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLA JEAN COLASURDO DO (NPI 1629770565) is an individual student in an organized health care education/training program in Augusta, Georgia and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1629770565

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameCARLA JEAN COLASURDOCredential: DO

Location Address1120 15TH STAugusta, GA 30912-0004

Mailing Address1230 Baxter StAthens, GA 30606-3712 · (706) 389-3860 · Fax (706) 389-3861

Phone(706) 721-2273

Sole ProprietorNo

Enumeration DateMarch 21, 2023

Last NPPES UpdateJune 21, 20262 updates tracked since enumeration

NPPES CertifiedJune 21, 2026

✔ NPI 1629770565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1120 15TH ST, Augusta, GA 30912

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