Individual
MR. MATTHEW WAYNE COLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
3100 TRADITION CIR, MOUNT PLEASANT, SC 29466-7200
(843) 654-7945
(843) 884-6481
Mailing address
1011 PROFESSIONAL BLVD, DALTON, GA 30720-2506
(706) 226-4623
(706) 278-0580
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
006483
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
353538198A
—
GA
Enumeration date
08/25/2006
Last updated
03/24/2021
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