Provider Demographics
NPI:1316106511
Name:COLLIER, CORY BROOKS (MD)
Entity type:Individual
Prefix:
First Name:CORY
Middle Name:BROOKS
Last Name:COLLIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 PORTER VILLAGE CIR STE 201
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37206-2599
Mailing Address - Country:US
Mailing Address - Phone:512-924-2333
Mailing Address - Fax:615-620-5155
Practice Address - Street 1:7003 CHADWICK DR STE 298
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-3234
Practice Address - Country:US
Practice Address - Phone:615-750-3774
Practice Address - Fax:615-442-8273
Is Sole Proprietor?:No
Enumeration Date:2008-06-03
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN9833208000000X
TN49300208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics