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Thomas A Collentine, MD

Emergency Medicine in Marietta, GA. Individual provider (NPI-1).

NPI number1992779342
StatusActive
Last updated in NPPESMar 19, 2018

Details

NPI
1992779342
Entity type
Individual (NPI-1)
Name
Thomas A Collentine
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Feb 14, 2006
Last updated
Mar 19, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine016568GAYes

Practice location

4800 Olde Towne Pkwy Ste 150a
Marietta, GA 30068-4357

Phone 770-509-1025 · Fax 770-509-1884

Mailing address

4800 Olde Towne Pkwy Ste 150a
Marietta, GA 30068-4357

Phone 770-509-1025 · Fax 770-509-1884

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