Individual
RICHARD EMERSON COLLINS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 E 7TH ST, UNIT A, CHARLOTTE, NC 28204-4375
(704) 372-7900
(704) 376-2216
Mailing address
PO BOX 63376, CHARLOTTE, NC 28263-3376
(704) 372-7900
(704) 376-2216
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
0094-00449
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02184
BCBS NC
NC
05
—
8923808
—
NC
05
—
N00449
—
SC
Enumeration date
06/23/2006
Last updated
10/26/2016
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