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MR. MAXWELL COLLIMORE PIERRE I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2680 HIGHWAY 81 S, COVINGTON, GA 30016-7514
(678) 508-2523
(770) 808-4391
Mailing address
5824 WINDERMERE CT, LITHONIA, GA 30038-6121
(678) 508-2523
(770) 808-4391

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
RN188675
GA
372600000X
Adult Companion
Primary

Other

Enumeration date
01/30/2013
Last updated
01/30/2013
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