| NPI | 1780992198 |
|---|---|
| Doing Business As | COLLIER B GLADIN JR MD |
| Entity Type | Organization |
| Authorized Contact | COLLIER B. GLADIN Owner 478-757-8335 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 030609) |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: GA 030609) |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2023-03-07 |