Individual
MR. DOUGLAS ANTHONY COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
178 A HOSPITAL ROAD, STE A, BLAIRSVILLE, GA 30512
(706) 745-4191
(706) 745-9370
Mailing address
178A HOSPITAL RD, BLAIRSVILLE, GA 30512-3139
(706) 745-4191
(706) 745-9370
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
GA1879
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001361A
—
GA
01
—
335862
WELLCARE
GA
Enumeration date
01/26/2007
Last updated
12/02/2009
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