Collins, Sharon Mitchell

Collins, Sharon Mitchell is an individual health care provider with primary practice located at 155 Hospital Dr , Tylertown MS 39667-2021. She recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as her primary health care specialty. Collins, Sharon Mitchell can be contacted via phone (601) 876-5337.

Contact Information

Primary practice address
155 Hospital Dr Tylertown MS 39667-2021
Phone: (601) 876-5337
Fax: (601) 876-5190
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 12466 Mississippi

Profile Details

NPI number 1356339352
LBN Legal business name Collins, Sharon Mitchell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Mar 12th, 2008 - about 17 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 1356339352 NPPES
Mississippi Other 5010127 AETNA
Mississippi Other 0130137 AETNA
Mississippi MEDICAID 0011131 AETNA

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