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Organization
COLLECTIVE CONSULTING
Active
Organization
COLLECTIVE CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAM PHILLIP (BILLING MANAGER)
(770) 985-4257
Entity
Organization
Contact information
Practice address
6555 SUGARLOAF PKWY, SUITE 307-231, DULUTH, GA 30097-4930
(770) 985-4257
(770) 985-4258
Mailing address
6555 SUGARLOAF PKWY, SUITE 307-231, DULUTH, GA 30097-4930
(770) 985-4257
(770) 985-4258
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
NULL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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