Individual
MRS. MARILYN SUE COLLIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
MACH RPC, MARTIN LOOP BLDG 9224, FT. BENNING, GA 31905
(706) 544-1419
(706) 544-2790
Mailing address
2405 ALABAMA RD, WAVERLY HALL, GA 31831-2605
(706) 582-3585
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN063533
GA
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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