Healthcare Provider Details

I. General information

NPI: 1851313217
Provider Name (Legal Business Name): STEVEN COLLINS STEVEN COLLINS, DOM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 S KEY ST
PILOT MOUNTAIN NC
27041-9601
US

IV. Provider business mailing address

611 W MAIN ST
PILOT MOUNTAIN NC
27041-9316
US

V. Phone/Fax

Practice location:
  • Phone: 743-300-9747
  • Fax:
Mailing address:
  • Phone: 561-558-5549
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP2901
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: