Doctor Name: | MR. JAMES C.P. COLLIER |
NPI Number: | 1831536796 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 101029508 |
Business Practice Address: | 1505 Woodspath Ln Suffolk, VA - 234331209 |
Business Phone Number: | 7572382437 |
Business Fax Number: | |
Mailing Address: | 1505 Woodspath Ln, SUFFOLK |
State: | VA |
Postal Code: | 234331209 |
Phone Number: | 7572382437 |
Fax Number: | |
NPI Enumeration Date: | 05/31/2013 |
NPI Last Update Date: | 05/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 101029508 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |