Individual
E J COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 692-1595
Mailing address
5608 FIREDRAKE RD, HOPE MILLS, NC 28348-1949
(910) 309-8067
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
70835
SC
367500000X
Certified Registered Nurse Anesthetist
162214
NC
367500000X
Certified Registered Nurse Anesthetist
2926
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8051861
—
NC
Enumeration date
07/12/2005
Last updated
11/03/2025
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