Individual
DR. GEOFFREY JAMES COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 BEGLIS PKWY 1, SULPHUR, LA 70663-3503
(337) 905-7100
(337) 905-7101
Mailing address
250 BEGLIS PKWY 1, SULPHUR, LA 70663-3503
(337) 905-7100
(337) 905-7101
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
09996R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09996R
STATE LICENSE NO.
LA
05
—
1986062
—
LA
01
—
5U305D847
MEDICARE LEGACY NUMBER
LA
01
—
CI9478
RR MEDICARE GROUP LEGACY
LA
01
—
P00134321
RR MEDICARE #
LA
Enumeration date
05/16/2006
Last updated
11/05/2015
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