MEDICARE: MRS. NORA B. COLLIER PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT009810	GA

General Provider Information

NPI Number	:	1598088080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NORA B. COLLIER PT, DPT

Provider Business Mailing Address
First Line	:	3001 MERCER UNIVERSITY DRIVE
Second Line	:	DAVIS BLDG., SUITE 106
City	:	ATLANTA
State	:	GA
Zip	:	30341
Country	:	US
Telephone Number	:	678-547-6439
Fax Number	:	678-547-6710

Provider Business Practice Location Address
First Line	:	6135 ROOSEVELT HIGHWAY
Second Line	:
City	:	WARM SPRINGS
State	:	GA
Zip	:	31830-1000
Country	:	US
Telephone Number	:	706-655-5432
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2010
Last Update Date	:	08/12/2015

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