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Organization
PA PAULINA COLLIER, LLC
Active
Organization
PA PAULINA COLLIER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULINA J COLLIER PA (OWNER)
(724) 812-1200
Entity
Organization
Contact information
Practice address
3916 BEN FRANKLIN BLVD, DURHAM, NC 27704-2383
(919) 956-9300
Mailing address
600 W MAIN ST APT 601, DURHAM, NC 27701-1795
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-04275
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184929531
—
NC
01
—
12190805
CAQH
NC
Enumeration date
06/19/2017
Last updated
06/19/2017
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