Organization
JOSEPH F COLLIGAN MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN MICHAEL COLLIGAN LCSW (BUSINESS MANAGER)
(910) 455-5551
Entity
Organization
Contact information
Practice address
825 GUMBRANCH ROAD, SUITE 109, JACKSONVILLE, NC 28540
(910) 455-5551
(910) 938-2556
Mailing address
825 GUMBRANCH ROAD, SUITE 109, JACKSONVILLE, NC 28540
(910) 455-5551
(910) 938-2556
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1599735
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23782
BC
NC
05
—
8923782
—
NC
Enumeration date
02/21/2008
Last updated
02/21/2008
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