Individual
MR. JAMES MICHAEL COLL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MMS, ATC, CSCS, PA-C
Contact information
Practice address
3410 EXECUTIVE DR, #103, RALEIGH, NC 27609-7450
(919) 872-5296
Mailing address
3410 EXECUTIVE DR, STE 103, RALEIGH, NC 27609-7457
(919) 872-5296
(919) 850-9718
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-06132
NC
Other
Enumeration date
01/02/2016
Last updated
09/22/2016
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