Individual
ROBERT CRAIG COLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 N JACKSON ST, TULLAHOMA, TN 37388-2336
(931) 393-2020
(931) 455-6501
Mailing address
1100 N JACKSON ST, TULLAHOMA, TN 37388-2336
(931) 393-2020
(931) 455-6501
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
21605
TN
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
MD21605
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180021876
RAILROAD MEDICARE
TN
05
—
3062535
—
TN
01
—
P00465135
RAILROAD MEDICARE
TN
Enumeration date
09/15/2005
Last updated
07/09/2020
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