Individual
RONALD PAUL COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 NEW RIVER PKWY, SUITE 22, HARDEEVILLE, SC 29927-4547
(843) 208-3404
(843) 208-3405
Mailing address
300 NEW RIVER PKWY, SUITE 22, HARDEEVILLE, SC 29927-4450
(843) 208-3404
(843) 208-3405
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1697
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311133277
BCBS FEDERAL ID
SC
05
—
CH1697
—
SC
Enumeration date
04/25/2006
Last updated
08/11/2010
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