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Individual
ELLIS MORGAN COLLINS JR.
Active
Individual
ELLIS MORGAN COLLINS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
C-2851
AR
208D00000X
General Practice Physician
Primary
C-2851
AR
Other
Enumeration date
12/10/2008
Last updated
12/10/2008
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