Individual
DR. CHARLES COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3109 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-4361
(228) 818-1111
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
MS13474
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119430
—
MS
Enumeration date
01/17/2007
Last updated
07/08/2007
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