Healthcare Provider Details

I. General information

NPI: 1235250648
Provider Name (Legal Business Name): NANCY H COLLINS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

706 N 8TH AVE
DILLON SC
29536-2540
US

IV. Provider business mailing address

706 N 8TH AVE
DILLON SC
29536-2540
US

V. Phone/Fax

Practice location:
  • Phone: 843-841-3825
  • Fax: 843-841-3830
Mailing address:
  • Phone: 843-841-3825
  • Fax: 843-841-3830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberLL27055
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: