IndividualActive
Justin Souter, NP
NPI 1205539293 · Family Nurse Practitioner · Colbert, GA
Provider details
- NPI number
- 1205539293
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- License
- APRN-NP306248 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
11 Charlie Morris Rd
Colbert, GA 30628-2445
Phone: (706) 521-3113
Approximate (ZIP-level) locationGet directions
Mailing address
11 Charlie Morris Rd
Colbert, GA 30628-2445
Registry dates
- Enumerated
- 2023-03-27
- Last updated
- 2025-10-16
- Certified
- 2025-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.