Individual
DR. JAMIE LEE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1371 I-49 S SERVICE ROAD, SUNSET, LA 70584-6134
(337) 678-4160
(877) 278-8499
Mailing address
PO BOX 2118, OPELOUSAS, LA 70571-2118
(337) 662-4075
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.206815
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2150103
—
LA
Enumeration date
03/18/2011
Last updated
03/05/2020
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