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Organization

M CLAGETT COLLINS MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL CLAGETT COLLINS MD (OWNER/PHYSICIAN)
(205) 541-1358
Entity
Organization

Contact information

Practice address
1 LAKESHORE DRIVE, STE 200, BIRMINGHAM, AL 35209-7271
(205) 916-0105
(205) 916-0913
Mailing address
PO BOX 661493, BIRMINGHAM, AL 35266-1493
(205) 916-0105
(205) 916-0913

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary

Other

Enumeration date
08/06/2012
Last updated
08/06/2012
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