Individual
DR. JENNIFER RUTT COLLINSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 PATEWOOD DR STE A120, GREENVILLE, SC 29615-6305
(864) 454-2670
(864) 454-2679
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2024-01477
NC
208000000X
Pediatrics Physician
Primary
94466
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
Other
Enumeration date
03/25/2021
Last updated
08/05/2025
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