Individual
DAVID DUTROW COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3333 BROOKVIEW HILLS BLVD, STE 207, WINSTON-SALEM, NC 27103-5661
(336) 765-5250
(336) 659-0953
Mailing address
1701 WESTCHESTER DR, STE 850, HIGH POINT, NC 27262-7254
(336) 802-2400
(336) 802-2001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27145
NC
207RP1001X
Pulmonary Disease Physician
27145
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27145
MEDICAL LICENSE
NC
05
—
5900496
—
NC
01
—
P00391425
RR MEDICARE
NC
Enumeration date
06/15/2005
Last updated
07/07/2009
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