Individual
GABRIEL LEE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
115 N PEACHTREE AVE, COOKEVILLE, TN 38501-2546
(931) 528-2836
Mailing address
115 N PEACHTREE AVE, COOKEVILLE, TN 38501-2546
(931) 528-2836
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
5152
TN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/04/2018
Last updated
11/07/2023
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