Individual
MR. EZEKIAL EMMANUEL COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MEDICAL TRANSPORT
Contact information
Practice address
3915 KELLYBROOK DR, CONCORD, NC 28025-7087
(414) 766-4552
Mailing address
3915 KELLYBROOK DR, CONCORD, NC 28025-7087
(414) 766-4552
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
000030297331
NC
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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