Organization
R DEAVER COLLINS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT DEAVER COLLINS MD (PRESIDENT)
(601) 353-7090
Entity
Organization
Contact information
Practice address
1190 N STATE ST, SUITE 302, JACKSON, MS 39202-2413
(601) 353-7090
Mailing address
1190 N STATE ST, SUITE 302, JACKSON, MS 39202-2413
(601) 353-7090
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
AC1150414
MS
Other
Enumeration date
04/22/2013
Last updated
04/22/2013
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