CHARLES BARRY COLLIER

MILLINGTON, TN
NPI1316915333
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date2006-03-08
Last Update Date2007-07-08
Business Address
CHARLES BARRY COLLIER IDC
BRANCH MEDICAL CLINIC, NSA MID SOUTH 5722 INTEGRITY DR BLDG
MILLINGTON, TN 38054
Phone number: 901-874-2077
Mailing Address
CHARLES BARRY COLLIER IDC
577 PLUM TREE CIR
ATOKA, TN 38004-6682
Phone number: 901-837-9707