Individual
MR. DANIEL LEO COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 718-5763
(336) 718-9861
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 718-5763
(336) 718-9861
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
9500866
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8923630
—
NC
05
—
GP1467
—
SC
Enumeration date
12/08/2005
Last updated
02/14/2018
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