Healthcare Provider Details

I. General information

NPI: 1184621377
Provider Name (Legal Business Name): MARGARET B COLLINS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARGARET B COLLINS-HILL MD

II. Dates (important events)

Enumeration Date: 07/01/2005
Last Update Date: 07/23/2021
Certification Date: 07/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1415 PHYSICIANS DR
WILMINGTON NC
28401-7338
US

IV. Provider business mailing address

PO BOX 936857
ATLANTA GA
31193-6857
US

V. Phone/Fax

Practice location:
  • Phone: 910-662-9500
  • Fax: 910-662-9501
Mailing address:
  • Phone: 910-662-9500
  • Fax: 109-662-9501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0005X
TaxonomyHypertension Specialist Physician
License Number9701292
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number9701292
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number9701292
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: