Individual
MR. JOHN ROBERT COLLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
905 VERDAE BLVD STE 101, GREENVILLE, SC 29607-4098
(864) 286-7550
(864) 286-7551
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001015349
NC
363A00000X
Physician Assistant
Primary
4777
SC
363AM0700X
Medical Physician Assistant
PA 17169
CA
Other
Enumeration date
04/02/2007
Last updated
04/23/2026
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