Individual
STEPHEN EDWARD COLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
29 N STAR DR, SUTE C, JACKSON, TN 38305-6656
(731) 664-7949
(731) 664-6141
Mailing address
PO BOX 400, JACKSON, TN 38302-0400
(731) 423-8697
(731) 422-5743
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
41756
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3827835
—
TN
Enumeration date
08/31/2006
Last updated
01/02/2013
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