Collins, Clinton Wood

Collins, Clinton Wood is an individual health care provider with primary practice located at 2500 N State St Division Of Urology, Jackson MS 39216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Collins, Clinton Wood can be contacted via phone (601) 984-5186.

Contact Information

Primary practice address
2500 N State St Division Of Urology Jackson MS 39216
Phone: (601) 984-5186
Fax: (601) 984-5110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X TL33026 South Carolina
Allopathic & Osteopathic Physicians / Urology 208800000X 21716 Mississippi
Allopathic & Osteopathic Physicians / Urology 208800000X 205946 Louisiana
Allopathic & Osteopathic Physicians / Urology 208800000X 0101250371 Virginia

Profile Details

NPI number 1932318243
LBN Legal business name Collins, Clinton Wood
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Apr 1st, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932318243 NPPES
Mississippi MEDICAID 02504711
Mississippi MEDICAID 134224
Mississippi Other P01071194

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