Individual
DR. ROBERT A DECOLLI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
3360 N WATKINS ST, MEMPHIS, TN 38127-6405
(901) 401-7150
(901) 347-1285
Mailing address
PO BOX 746725, ATLANTA, GA 30374-6725
(312) 733-9730
(773) 866-8014
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4200
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015039900003
—
PA
01
—
110104720
RAILROAD MEDICARE
PA
Enumeration date
08/24/2005
Last updated
12/22/2025
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