Individual
JOHN REGINALD COLLIER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2520 ABERDEEN BLVD, GASTONIA, NC 28054-0635
(704) 868-8400
(704) 868-8493
Mailing address
2520 ABERDEEN BLVD, GASTONIA, NC 28054-0635
(704) 868-8400
(704) 868-8493
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
21759
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10-41172
UNITED HEALTHCARE
NC
01
—
10309
PARTNERS HEALTHPLAN
NC
01
—
1549303004
CIGNA HEALTHCARE
NC
01
—
168236
MIDSOUTH INS
NC
01
—
2019464
AETNA HEALTHCARE
NC
01
—
2103803
MAMSI
NC
01
—
23777
BLUE CROSS BLUE SHIELD
NC
01
—
343001
COVENTRY HEALTHCARE
NC
01
—
53853
MEDCOST
NC
05
—
8923777
—
NC
01
—
N21759
SOUTH CAROLINA MEDICAID
SC
Enumeration date
09/20/2005
Last updated
07/09/2007
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