| Joseph F Colligan Md | |
|
825 Gumbranch Road Suite 109 Jacksonville NC 28540 | |
| (910) 455-5551 | |
| (910) 938-2556 |
| Full Name | Joseph F Colligan Md |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 825 Gumbranch Road, Jacksonville, North Carolina |
| Authorized Official Name and Position | Kevin Michael Colligan (BUSINESS MANAGER) |
| Authorized Official Contact | 9104555551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph F Colligan Md 825 Gumbranch Road Suite 109 Jacksonville NC 28540 Ph: (910) 455-5551 | Joseph F Colligan Md 825 Gumbranch Road Suite 109 Jacksonville NC 28540 Ph: (910) 455-5551 |
| NPI Number | 1629247929 |
|---|---|
| Provider Enumeration Date | 02/21/2008 |
| Last Update Date | 02/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629247929 | NPI | - | NPPES |
| 8923782 | Medicaid | NC | |
| 23782 | Other | NC | BC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 1599735 (North Carolina) | Primary |
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