Individual
MR. MICHAEL SHANE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
1222 MEDICAL CENTER DR, COLUMBIA, TN 38401-6402
(931) 828-1651
Mailing address
1222 MEDICAL CENTER DR, COLUMBIA, TN 38401-6402
(931) 828-1651
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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