Individual
JOHN TAYLOR COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2525 COURT DR, GASTONIA, NC 28054
(502) 643-0876
Mailing address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 847-4461
(252) 744-4125
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2018-00878
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2015
Last updated
07/11/2018
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