# COLLINS ANESTHESIA ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952414161
- **Authorized official:** MARK MANNING III (BILLING CONTACT)
- **Authorized official phone:** (706) 660-8505

## Contact information

- **Practice address:** 4000 HIGHWAY 9 E, LITTLE RIVER, SC 29566-7833
- **Practice address phone:** (843) 390-8100
- **Mailing address:** PO BOX 2585, COLUMBUS, GA 31902-2585

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/15/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP2672 | — | SC |