Individual
DR. TIMOTHY RAY COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
254 W 7TH ST, COOKEVILLE, TN 38501
(931) 520-6270
(931) 520-6286
Mailing address
254 W 7TH ST, COOKEVILLE, TN 38501
(931) 520-6270
(931) 520-6286
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD24831
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3165325
BLUE CROSS
TN
05
—
3822886
—
TN
01
—
44D0984314
CLIA
TN
Enumeration date
01/25/2006
Last updated
04/21/2011
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