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Individual

LEWIS R COLLINS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4849 PAULSEN ST, SUITE 300, SAVANNAH, GA 31405-4423
(912) 354-7546
(912) 354-7558
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

Other identifiers
Code
Description
Identifier
Issuer
State
01
5257583
BLUE CROSS BLUE SHIELD GA
GA
Enumeration date
10/05/2006
Last updated
06/20/2023
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