Individual
MARK TAYLOR COLLINS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 E TRINITY PL, DECATUR, GA 30030-3302
(404) 378-2300
(404) 378-2394
Mailing address
120 E TRINITY PL, DECATUR, GA 30030-3302
(404) 378-2300
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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