Individual
DR. ROSS E COLLINS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2434 S EASON BLVD, TUPELO, MS 38804-6942
(662) 844-1717
(662) 680-5129
Mailing address
2434 S EASON BLVD, TUPELO, MS 38804-6942
(662) 844-1717
(662) 680-5129
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD0000016359
TN
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD0000016359
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00010869
—
MS
Enumeration date
06/28/2006
Last updated
01/11/2013
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