Individual
CHARLES FREDERICK COLLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1918 RANDOLPH RD, SUITE 500, CHARLOTTE, NC 28207-1100
(704) 364-8100
(704) 365-2073
Mailing address
1918 RANDOLPH RD, SUITE 130, CHARLOTTE, NC 28207-1100
(704) 364-8100
(704) 364-2073
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
30897
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8923803
—
NC
Enumeration date
06/21/2006
Last updated
05/14/2014
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