MR. GARY STEVEN KOLLER


Address: 76 Holder Road, Lumpkin, GA 31815
Phone: 2298381241

MR. GARY STEVEN KOLLER (NPI# 1205258431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205258431
Entity Type Individual
Full Name MR. GARY STEVEN KOLLER
Practice Address 76 Holder Road
Lumpkin
GA 31815
Mailing Address 79 Holder Road
Lumpkin
GA 31815
Practice Telephone 2298381241
Practice Fax Number 2298381242
Mailing Telephone 2298381241
Enumeration Date 2014-01-07
Last Update Date 2015-06-30
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SF0001X Clinical Nurse Specialist
Specialization: Family Health
RN218792 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 76 HOLDER ROAD
City LUMPKIN
State GA
Zip Code 31815

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NPI Name Taxonomy Address Enumeration
1194230748 Carolyn H Baker Day Training, Developmentally Disabled Services Hwy 27 South, P.o. Box 98, Lumpkin, GA 31815 2017-12-05
1225485907 Cynthia Thomas Community Health Worker 107 Health Department Rd., Lumpkin, GA 31815 2016-05-23
1053701219 Monica Elaine Bennefield Social Worker 146 Cca Way, Lumpkin, GA 31815 2015-01-27
1982020913 Chassy Gilbert Community Health Worker 107 Hwy 27 South, Lumpkin, GA 31815 2014-03-14
1326481979 James Allen Blankenship Registered Nurse 146 Cca Road, Lumpkin, GA 31815 2013-04-14
1346590148 Providence Family Medicine Clinic, Inc Family Medicine 1787 Broad Street, Providence Family Medicine Clinic, Inc, Lumpkin, GA 31815 2012-09-19
1508130931 Sys Dennis Bennefield Pharmacist 79 Holder Road, Lumpkin, GA 31815 2012-03-02
1962549238 Stewart-quitman County Services Counselor Us South 27, Lumpkin, GA 31815 2007-01-30
1073696548 Stewart County Fire & Ems Ambulance 532 Martin Luther King Jr. Drive, Lumpkin, GA 31815 2006-10-20
1902811532 Lumpkin Drugs Inc Pharmacy 815 Cotton St, Lumpkin, GA 31815 2006-07-30
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Taxonomy Information

Taxonomy Code 364SF0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Family Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1396344586 Lynester Williams Clinical Nurse Specialist 1876 Rock Chapel Rd, Lithonia, GA 30058-5105 2020-10-20
1942819545 Alicia Haisley Clinical Nurse Specialist 504 Village Pt, Fairburn, GA 30213-5100 2020-07-29
1609314376 Sajani Paresh Patel Clinical Nurse Specialist 4775 Jimmy Carter Blvd Ste 201, Norcross, GA 30093-3760 2017-02-02
1750827242 Mahlet Abebe Clinical Nurse Specialist 621 Windcroft Cir Nw, Acworth, GA 30101-3797 2017-01-09
1952780389 Beverley Murray Clinical Nurse Specialist 210 Long Bridge Rd, Helena, GA 31037-2804 2015-05-19
1013337690 Elizabeth Anne Dykeman Clinical Nurse Specialist 3035 Highway 17, Sautee Nacoochee, GA 30571-3013 2014-04-22
1801135280 Sharon Templeton Matson Clinical Nurse Specialist 2950 Ashbyrn Ct, Buford, GA 30519-3989 2013-02-05
1205061371 Tami Mitchell Hefner Clinical Nurse Specialist 290 Emerald Dr, Clarkesville, GA 30523-4290 2009-05-19
1275796559 Tawnya Lynette Pringle Clinical Nurse Specialist 3196 Mount Zion Rd, Apt 804, Stockbridge, GA 30281-9304 2008-07-07
1700070901 Alice Evelyn Woodruff Clinical Nurse Specialist 108 Park Ave, Athens, GA 30601-1722 2007-08-30
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Competitor

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City LUMPKIN
Zip Code 31815

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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