Doctor Name: | PAMELA C. COLLIER |
NPI Number: | 1033173570 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | F.N.P.-C |
License Number: | RN076675 |
Business Practice Address: | 5488 N Alabama Ave Omega, GA - 317753054 |
Business Phone Number: | 2295284546 |
Business Fax Number: | 2295284841 |
Mailing Address: | 10 Turnberry Cir, TIFTON |
State: | GA |
Postal Code: | 317936841 |
Phone Number: | 2295284546 |
Fax Number: | 2295284841 |
NPI Enumeration Date: | 04/13/2006 |
NPI Last Update Date: | 12/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN076675 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |