Collier B Gladin Jr Md
LBN: Collier B. Gladin, Jr., M.D., Llc
Collier B Gladin Jr Md is an health care organization with primary practice located at 140 Northcrest Blvd. , Macon GA 31210. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Managed Care Organizations / Preferred Provider Organization. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Collier B. Gladin, Jr., M.D., Llc can be contacted via phone (478) 757-8335, or through Gladin, Collier B. via phone (478) 757-8335.
Contact Information
Primary practice address
140 Northcrest Blvd.
Macon GA 31210
Phone: (478) 757-8335
Fax: (478) 757-8353
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 030609 | Georgia |
| Managed Care Organizations / Preferred Provider Organization | 305R00000X | 030609 | Georgia |
Profile Details
| NPI number | 1780992198 |
|---|---|
| LBN Legal business name | Collier B. Gladin, Jr., M.D., Llc |
| DBA Doing business as | Collier B Gladin Jr Md |
| Authorized official | Gladin, Collier B. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Sep 20th, 2010 |
| Last updated | Mar 7th, 2023 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780992198 | NPPES |
| Georgia | MEDICAID | 000383446D | |
| Georgia | Other | D29570 |
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