Individual
DR. GORDON LEE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 20TH ST, SUITE 606, KNOXVILLE, TN 37916-1809
(886) 554-6804
(865) 541-2787
Mailing address
501 20TH ST, SUITE 606, KNOXVILLE, TN 37916-1809
(865) 546-8040
(865) 541-2787
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
43628
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508546
—
TN
Enumeration date
07/12/2006
Last updated
05/25/2010
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