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NPI Code Detail

MEDICARE: DR. THOMAS ALBERT COLLINGS JR. MD

MEDICARE: DR. THOMAS ALBERT COLLINGS JR. MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist14826SC

General Provider Information

NPI Number : 1902871890
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS ALBERT COLLINGS JR. MD
Provider Business Mailing Address
First Line : 324A N PINE ST
Second Line :
City : SPARTANBURG
State : SC
Zip : 29302-1631
Country : US
Telephone Number : 864-582-2000
Fax Number : 864-582-6363
Provider Business Practice Location Address
First Line : 324A N PINE ST
Second Line :
City : SPARTANBURG
State : SC
Zip : 29302-1631
Country : US
Telephone Number : 864-582-2000
Fax Number : 864-582-6363
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2006
Last Update Date : 07/08/2007

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