Organization
ROSS E. COLLINS, JR. M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSS E COLLINS JR. M.D. (OWNER)
(901) 854-8727
Entity
Organization
Contact information
Practice address
311 POPLAR VIEW LN W, COLLIERVILLE, TN 38017-3175
(901) 854-8727
(901) 854-8595
Mailing address
311 POPLAR VIEW LN W, COLLIERVILLE, TN 38017-3175
(901) 854-8727
(901) 854-8595
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD0000016359
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00010869
—
MS
Enumeration date
06/20/2006
Last updated
09/21/2007
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