Individual
MR. JEFFREY C COLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 794-0477
(770) 794-3108
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(954) 839-2569
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002889
GA
367H00000X
Anesthesiologist Assistant
Primary
002889
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002624G
—
GA
Enumeration date
07/10/2006
Last updated
08/27/2019
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