Provider Demographics
NPI:1396782900
Name:COLLIER, VICTOR EUGENE (MD)
Entity type:Individual
Prefix:
First Name:VICTOR
Middle Name:EUGENE
Last Name:COLLIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 100567
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29502-0567
Mailing Address - Country:US
Mailing Address - Phone:843-777-5735
Mailing Address - Fax:843-777-2804
Practice Address - Street 1:101 WILLIAM H JOHNSON ST STE 205
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29506-2763
Practice Address - Country:US
Practice Address - Phone:843-777-5735
Practice Address - Fax:843-777-2804
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC38866207R00000X
IN01059142A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC038866300Medicaid
SCSC73889167Medicare PIN