Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 26354 | AL |
NPI | 1003922139 |
---|---|
Provider Name | Veronica Collier |
First Address | Huntsville, AL 35804-2705 |
Second Address | Huntsville, AL 35801-2700 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2006 |
Last Update Date | 18/11/2016 |