Individual
GRANT STEPHEN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15837 PAUL VEGA MD DR, HAMMOND, LA 70403-1495
(337) 422-9038
Mailing address
15837 PAUL VEGA MD DR, HAMMOND, LA 70403-1495
(337) 422-9038
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
LA
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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