Collins, Robert Darrell
Collins, Robert Darrell is an sole proprietor health care provider with primary practice located at 1400 Peterson Ave N Ste C , Douglas GA 31533-2833. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Collins, Robert Darrell can be contacted via phone (912) 384-6276.Contact Information
Primary practice address
1400 Peterson Ave N Ste C
Douglas GA 31533-2833
Phone: (912) 384-6276
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 48034 | Georgia |
Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | 048034 | Georgia |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 48034 | Georgia |
Profile Details
NPI number | 1447250220 |
---|---|
LBN Legal business name | Collins, Robert Darrell |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 22nd, 2005 |
Last updated | Jan 19th, 2024 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1447250220 | NPPES |
Georgia | MEDICAID | 000842696E |
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