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:
Map and Directions
Authorized official contact:
Name: Gladin, Collier B. Doctor of Medicine (MD)
Phone: (478) 757-8335

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780992198 NPPES
Georgia MEDICAID 000383446D
Georgia Other D29570

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