Collier B Gladin Jr. (NPI# 1063527430, PAC ID# 1153400064) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1063527430 |
| PAC ID by PECOS | 1153400064 |
| Professional Enrollment ID | I20080505000109 |
| Full Name | Collier B Gladin Jr. |
| Address |
140 N Crest Blvd Macon GA 31210-1845 |
| Gender | M |
| Medical School | MERCER UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110107 | MEDICAL CENTER, NAVICENT HEALTH (THE) |
| 110201 | COLISEUM NORTHSIDE HOSPITAL |
| 110164 | COLISEUM MEDICAL CENTERS, LLC, DBA |
| Address | Phone | Organization |
|---|---|---|
| 140 N Crest Blvd, Macon, GA 31210-1845 |
| Street Address |
140 N CREST BLVD |
| City | MACON |
| State | GA |
| Zip | 31210-1845 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William S Hutchings | Family Medicine | Hutchings Health Care | 3096 Riverside Dr, Suite D, Macon, GA 31210-0420 |
| Dusty W Large | Chiropractic | 3040 Riverside Dr, Suite B3, Macon, GA 31210-0470 | |
| Billie L Jackson | Dermatology | 440 Charter Blvd, Ste. 2201, Macon, GA 31210-0706 | |
| Hyunji Choi | Dermatology | Dermatology Affiliates LLC | 440 Charter Blvd, Suite 2201, Macon, GA 31210-0706 |
| Valerie Jones-freeman | Internal Medicine | 420 Charter Blvd, Suite 306, Macon, GA 31210-0715 | |
| Joseph J Burnette | General Surgery | 420 Charter Blvd, Suite 302, Macon, GA 31210-0720 | |
| Laurie G Johnson | Nurse Practitioner | Peter O. Holliday IIi, Md, PC | 420 Charter Blvd, Suite 402, Macon, GA 31210-0722 |
| Pamela Onderko | Podiatry | 5223 Riverside Dr, Suite 104, Macon, GA 31210-0889 | |
| William J Woods | Internal Medicine | 220 N Macon St, Macon, GA 31210-1111 | |
| Torrence T Drakeford | Nurse Practitioner | Navicare LLC | 4795 Riverside Dr, Macon, GA 31210-1115 |
| Find all physicians in zip 31210 | |||
| City | MACON |
| Zip Code | 31210 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MACON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Collier B Gladin Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.