Provider Demographics
NPI:1376706432
Name:COLLIER, KATHRYN W (MD)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:W
Last Name:COLLIER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1075 BYRNWYCK TRL NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30319-1670
Mailing Address - Country:US
Mailing Address - Phone:404-256-2018
Mailing Address - Fax:770-424-8787
Practice Address - Street 1:1075 BYRNWYCK TRL NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30319-1670
Practice Address - Country:US
Practice Address - Phone:404-256-2018
Practice Address - Fax:770-424-8787
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-08
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA023928207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology