Organization
LEWIS R. COLLINS, JR., M.D., P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEWIS R COLLINS JR. MD (PRESIDENT)
(912) 354-7546
Entity
Organization
Contact information
Practice address
1013 E 1ST ST, VIDALIA, GA 30474-4227
(912) 538-7702
(912) 538-9520
Mailing address
1013 E 1ST ST, VIDALIA, GA 30474-4227
(912) 538-7702
(912) 538-9520
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
034795
GA
Other
Enumeration date
10/05/2006
Last updated
10/30/2023
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