Individual
TERRANCE KEITH COLLISON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
200 VETERANS AVE, BECKLEY, WV 25801-6444
(304) 255-2121
(304) 256-5132
Mailing address
PO BOX 69, ECCLES, WV 25836-0069
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
05/11/2006
Last updated
07/08/2007
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