Individual
DR. EVELYN WINFORD COLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
2650 BEACH BLVD, STE. 31, BILOXI, MS 39531-4517
(228) 273-1689
(228) 388-2051
Mailing address
1090 NORTHCHASE PKWY SE, STE. 290, MARIETTA, GA 30067-6405
(678) 904-5665
(678) 247-7862
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2892-95
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660217
—
MS
Enumeration date
04/09/2007
Last updated
08/23/2012
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