Individual
DR. JAMES E. COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
759 MARTIN LUTHER KING JR DR NW, SUITE 200, ATLANTA, GA 30314-4153
(404) 588-0464
(404) 588-0463
Mailing address
759 MARTIN LUTHER KING JR DR NW, SUITE 200, ATLANTA, GA 30314-4153
(404) 588-0464
(404) 588-0463
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
011981
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000842234D
—
GA
01
—
017600
DELTA CARE USA
GA
05
—
1004736
—
GA
05
—
100673
—
GA
01
—
285180
CIGNA HMO
GA
01
—
663122
AETNA DENTAL DMO
GA
01
—
818223
UNITED CONCORDIA
GA
05
—
832232719A
—
GA
Enumeration date
03/14/2007
Last updated
08/31/2012
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