Individual
ELLIS MORGAN COLLINS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 E BROADWAY ST, FORREST CITY, AR 72335-3922
(870) 633-5761
(870) 633-5761
Mailing address
1301 E BROADWAY ST, FORREST CITY, AR 72335-3922
(870) 633-5761
(870) 633-5761
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
C-2851
AR
208D00000X
General Practice Physician
Primary
C-2851
AR
Other
Enumeration date
12/10/2008
Last updated
12/10/2008
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