Individual
DR. CECIL EUGENE COLLINS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1504 VIRGINIA AVE, BRISTOL, TN 37620-5163
(423) 573-1658
(423) 573-1658
Mailing address
1504 VIRGINIA AVE, BRISTOL, TN 37620-5163
(423) 573-1658
(423) 573-1658
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC0000001286
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2345678
COMM
—
01
—
3058108
BCBS
TN
05
—
3679189
—
TN
Enumeration date
03/16/2007
Last updated
07/09/2007
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