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Individual

DOUGLAS CALDWELL COLLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
320 PARKWAY DR NE, SUITE 232, ATLANTA, GA 30312-1213
(404) 522-0917
(404) 522-0953
Mailing address
320 PARKWAY DR NE, SUITE 232, ATLANTA, GA 30312-1213
(404) 522-0917
(404) 522-0953

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
020092
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000230095F
GA
05
00230095C
GA
Enumeration date
09/27/2006
Last updated
06/27/2013
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