Individual
DR. MATTHEW JAMES KOLLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1220 JEFFERSON ST, LAUREL, MS 39440
(601) 426-4000
Mailing address
1220 JEFFERSON ST, LAUREL, MS 39440-4355
(601) 426-4000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26161
MS
207Q00000X
Family Medicine Physician
A159016
CA
207Q00000X
Family Medicine Physician
MD56102
TN
Other
Enumeration date
04/04/2014
Last updated
12/17/2018
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