Collins, Michael Kevin

Collins, Michael Kevin is an individual health care provider with primary practice located at 790 Church St Ne Ste 400 , Marietta GA 30060-8957. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Collins, Michael Kevin can be contacted via phone (770) 405-2976.

Contact Information

Primary practice address
790 Church St Ne Ste 400 Marietta GA 30060-8957
Phone: (770) 405-2976
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 053687 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 053687 Georgia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 053687 Georgia

Profile Details

NPI number 1386633238
LBN Legal business name Collins, Michael Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Aug 23rd, 2022 - about 2 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 1386633238 NPPES
Georgia Other 52068609-003 BCBS PROVIDER NUMBER
Georgia MEDICAID 106988955C BCBS PROVIDER NUMBER

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