Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 125-050665 | IL |
Y | 111NI0900X | Internist | 125-050665 | IL |
N | 208000000X | Pediatrician | 125-050665 | IL |
NPI | 1003025511 |
---|---|
Provider Name | Dr. Melissa G Collier |
First Address | Greenwood, IN 46143-1439 |
Second Address | Greenwood, IN 46143-1439 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2007 |
Last Update Date | 10/03/2020 |