Provider Demographics
NPI:1164676623
Name:KOLLINGER, HERBERT H (D O)
Entity Type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:H
Last Name:KOLLINGER
Suffix:
Gender:M
Credentials:D O
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2475 NORTHWINDS PKWY
Mailing Address - Street 2:SUITE 175
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009-4807
Mailing Address - Country:US
Mailing Address - Phone:678-954-5300
Mailing Address - Fax:678-297-2954
Practice Address - Street 1:3440 PRESTON RIDGE RD
Practice Address - Street 2:SUITE 450
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-3817
Practice Address - Country:US
Practice Address - Phone:678-954-5300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-11
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA027589208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery