Individual
JOSHUA SCOTT COLLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1296 SIMS ST STE B, GAINESVILLE, GA 30501-3873
(770) 534-1856
Mailing address
1296 SIMS ST STE B, GAINESVILLE, GA 30501-3873
(770) 534-1856
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10001751A
IN
363A00000X
Physician Assistant
Primary
—
GA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
03/02/2012
Last updated
07/29/2021
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