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Individual

JAMES DEREK COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
701 GROVE RD, 6TH FLOOR SUPPORT TOWER, GREENVILLE, SC 29605
(864) 455-7844
Mailing address
800 PENNSYLVANIA AVE, CHARLESTON, WV 25302-3351
(304) 414-1880
(304) 414-1886

Taxonomy

Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
86506
SC

Other

Enumeration date
03/28/2018
Last updated
07/30/2021
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