Individual
NANCY A COLLOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12 EXECUTIVE PARK DRIVE NE, ROOM 431, ATLANTA, GA 30329
(404) 712-7238
Mailing address
EMORY CLINIC, 1365 CLIFTON RD NE, ATLANTA, GA 30322-0001
(404) 712-7533
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
65096
GA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
65096
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400291100
—
MD
Enumeration date
05/22/2006
Last updated
10/15/2015
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