Individual
CHARLES BARRY COLLIER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
BRANCH MEDICAL CLINIC, NSA MID SOUTH, 5722 INTEGRITY DR BLDG, MILLINGTON, TN 38054
(901) 874-2077
Mailing address
577 PLUM TREE CIR, ATOKA, TN 38004-6682
(901) 837-9707
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/08/2006
Last updated
07/08/2007
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