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Individual

DR. ROBERT DARRELL COLLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1400 PETERSON AVE N STE C, DOUGLAS, GA 31533-2833
(912) 384-6276
Mailing address
PO BOX 2109, DOUGLAS, GA 31534-2109
(912) 384-6276
(912) 389-1618

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
48034
GA
207RC0000X
Cardiovascular Disease Physician
Primary
48034
GA
207UN0901X
Nuclear Cardiology Physician
048034
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000842696E
GA
Enumeration date
07/22/2005
Last updated
01/19/2024
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