Individual
MR. BILLY ST JOHN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
240 SMITH CHURCH RD STE B, ROANOKE RAPIDS, NC 27870-4900
(252) 535-8463
Mailing address
441 SOMMERSET WAY, ROCKY MOUNT, NC 27804-9200
(252) 535-8463
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
NC
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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