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Individual

MICHAEL SHAWN COLLIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11808 KINGSTON PIKE, SUITE 160, KNOXVILLE, TN 37934-3803
(865) 966-3940
Mailing address
1225 E WEISGARBER RD, SUITE 200N, KNOXVILLE, TN 37909-2604
(865) 584-4747

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32220
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110205243
RR MEDICARE
TN
05
3851843
TN
Enumeration date
06/21/2006
Last updated
04/30/2008
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