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COLLIER B. GLADIN JR. M.D. LLC NPI 1780992198


NPI Information

NPI: 1780992198
Provider Name: COLLIER B. GLADIN, JR., M.D., LLC

Doing Business As: COLLIER B GLADIN JR MD

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
140 NORTHCREST BLVD.
MACON, GA
ZIP 31210
Phone: (478) 757-8335
Get Directions

COLLIER B. GLADIN, JR., M.D., LLC is a family medicine in Macon, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. COLLIER B. GLADIN, JR., M.D., LLC NPI is 1780992198. The provider is registered as an organization entity type.
The provider Is Doing Business As Collier B Gladin Jr Md.

The provider's business location address is:

140 NORTHCREST BLVD.
MACON, GA
ZIP 31210
Phone: (478) 757-8335
Fax: (478) 757-8353

The provider's authorized official is Collier B. Gladin .
The authorized official title is Owner and has the following contact phone number (478) 757-8335.

The enumeration date for this NPI number is 9/20/2010 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305R00000XPreferred Provider Organization030609GEORGIANo
2207Q00000XFamily Medicine030609GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000383446DMEDICAIDGEORGIA
2D29570OTHERGEORGIAUPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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