Individual
MR. ANTHONY COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9235 KIMBERLY WAY, BATON ROUGE, LA 70814-2863
(225) 303-4020
Mailing address
9235 KIMBERLY WAY, BATON ROUGE, LA 70814-2863
(225) 303-4020
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598263022
—
LA
Enumeration date
07/16/2018
Last updated
12/01/2022
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