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COLLIER STEPHENS PACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1002 N CHURCH ST STE 100, GREENSBORO, NC 27401-1447
(336) 890-2210
Mailing address
PO BOX 19653, SPRINGFIELD, IL 62794-9653
(804) 828-2755

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
036143109
IL

Other

Enumeration date
05/17/2011
Last updated
08/25/2021
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