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Individual
MR. DOUGLAS ANTHONY COLLINS
Active
Individual
MR. DOUGLAS ANTHONY COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
GA1879
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001361A
—
GA
01
—
335862
WELLCARE
GA
Enumeration date
01/26/2007
Last updated
12/02/2009
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