Individual
NANCY KAREN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
342 GILCHRIST DR, PEARL, MS 39208-6671
(601) 939-0700
(601) 939-8654
Mailing address
342 GILCHRIST DR, PEARL, MS 39208-6671
(601) 939-0700
(601) 939-8654
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
08753
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0122294
—
MS
Enumeration date
07/25/2006
Last updated
07/08/2007
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