Individual
DR. BOBBY MCMANUS COLLINS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
1851 MACGREGOR DOWNS RD, EAST CAROLINA UNIVERSITY SCHOOL OF DENTAL MEDICINE, GREENVILLE, NC 27834-5925
(252) 737-7021
(252) 737-7049
Mailing address
2008 CROOKED CREEK RD, GREENVILLE, NC 27858-8432
(252) 737-7021
(252) 737-7049
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
5136
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1638417
—
PA
Enumeration date
10/12/2005
Last updated
12/10/2012
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