Individual
ANNAMARIE REDDIN COLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
620 SUMMIT CROSSING PL, SUITE 106, GASTONIA, NC 28054-2176
(704) 867-8021
(704) 864-4606
Mailing address
620 SUMMIT CROSSING PL, SUITE 106, GASTONIA, NC 28054-2176
(704) 867-8021
(704) 864-4606
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35616
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1642993
UNITED HEALTHCARE
—
01
—
2353036
AETNA HMO
—
01
—
23769
BLUE CROSS BLUE SHIELD
—
01
—
300068234
RAILROAD MEDICARE
—
01
—
4620619
AETNA PPO
—
01
—
6676
PARTNERS
—
01
—
73399
MEDCOST
—
05
—
8923769
—
NC
05
—
N35616
—
SC
Enumeration date
11/22/2005
Last updated
08/23/2010
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