Individual
TIMOTHY JAMES COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
305 GRADY RD, SUITE B, ETOWAH, TN 37331-1903
(423) 263-0722
(423) 263-5232
Mailing address
305 GRADY RD, SUITE B, ETOWAH, TN 37331-1903
(423) 263-0722
(423) 263-5232
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30261
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3824140
—
TN
Enumeration date
10/04/2005
Last updated
07/08/2007
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