Individual
DR. SIDNEY W COLLINS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL PARK BLVD, 250 WEST, BRISTOL, TN 37620
(423) 844-6620
(423) 844-6626
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101255594
VA
208600000X
Surgery Physician
40441
TN
208600000X
Surgery Physician
Primary
E5311
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40441
MEDICAL LICENSE
TN
Enumeration date
08/09/2006
Last updated
06/07/2024
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