Healthcare Provider Details

I. General information

NPI: 1891052924
Provider Name (Legal Business Name): ANDREW DAVID COLLINS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2012
Last Update Date: 04/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 SAINT VINCENTS DR
BIRMINGHAM AL
35205-1601
US

IV. Provider business mailing address

810 ST. VINCENT'S DRIVE
BIRMINGHAM AL
35205-1601
US

V. Phone/Fax

Practice location:
  • Phone: 205-930-2456
  • Fax: 205-930-2469
Mailing address:
  • Phone: 205-930-2456
  • Fax: 205-930-2469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD.32946
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: