Healthcare Provider Details
I. General information
NPI: 1578607032
Provider Name (Legal Business Name): JAMES CURTIS COLLIER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/17/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1514 JEFFERSON HIGHWAY
NEW ORLEANS LA
70121-2429
US
IV. Provider business mailing address
1514 JEFFERSON HIGHWAY
NEW ORLEANS LA
70121-2429
US
V. Phone/Fax
- Phone: 504-842-4025
- Fax: 541-776-5011
- Phone: 504-842-4000
- Fax: 541-776-5011
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0804X |
| Taxonomy | Child & Adolescent Psychiatry Physician |
| License Number | MD20192 |
| License Number State | OR |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0804X |
| Taxonomy | Child & Adolescent Psychiatry Physician |
| License Number | MD.09030R |
| License Number State | LA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: