Sullivan, Regina Mccollum

Sullivan, Regina Mccollum is an individual health care provider with primary practice located at 1560 Indian Trail Rd Suite 108, Norcross GA 30093-2613. She recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Sullivan, Regina Mccollum can be contacted via phone (770) 923-1011.

Contact Information

Primary practice address
1560 Indian Trail Rd Suite 108 Norcross GA 30093-2613
Phone: (770) 923-1011
Fax: (770) 923-1041
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X GA1647 Georgia
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X GA1647 Georgia
Eye and Vision Services Providers / Pediatrics 152WP0200X GA1647 Georgia
Eye and Vision Services Providers / Vision Therapy 152WV0400X GA1647 Georgia

Profile Details

NPI number 1336199413
LBN Legal business name Sullivan, Regina Mccollum
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Mar 3rd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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