Individual
ZACHARY V. COLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5002 CROSSINGS CIR, SUITE 100, MOUNT JULIET, TN 37122-8471
(615) 515-9111
(615) 758-3791
Mailing address
5002 CROSSINGS CIR, SUITE 100, MOUNT JULIET, TN 37122-8471
(615) 515-9111
(615) 758-3791
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
47831
TN
207RP1001X
Pulmonary Disease Physician
Primary
47831
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1526457
—
TN
05
—
2815636
—
OH
01
—
4312933
BCBS
TN
01
—
P01004445
RR MEDICARE
TN
Enumeration date
07/21/2006
Last updated
10/16/2014
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