Individual
MR. GEORGE G COLLINS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1220 JEFFERSON ST, LAUREL, MS 39440-4355
(601) 426-4119
Mailing address
PO BOX 625, HEIDELBERG, MS 39439-0625
(601) 787-2250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3877
MS
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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