Organization
RETINAL EYE ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT C COLLIER M.D. (OWNER/PHYSICIAN)
(931) 393-2020
Entity
Organization
Contact information
Practice address
1100 N JACKSON ST, TULLAHOMA, TN 37388-2336
(931) 393-2020
(931) 455-6501
Mailing address
PO BOX 1567, TULLAHOMA, TN 37388-1567
(931) 393-2020
(931) 455-6501
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD 21605
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3370129
—
TN
01
—
DG9738
RAILROAD MEDICARE
TN
Enumeration date
08/09/2007
Last updated
05/01/2008
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