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NPI Code Detail

MEDICARE: DR. RONALD L COLLINS MD

MEDICARE: DR. RONALD L COLLINS 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
1207RR0500XRheumatology Physician8598SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013904838
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RONALD L COLLINS MD
Provider Business Mailing Address
First Line : 1711 SAINT JULIAN PL
Second Line :
City : COLUMBIA
State : SC
Zip : 29204-2409
Country : US
Telephone Number : 803-779-0911
Fax Number : 803-256-2480
Provider Business Practice Location Address
First Line : 1711 SAINT JULIAN PL
Second Line :
City : COLUMBIA
State : SC
Zip : 29204-2409
Country : US
Telephone Number : 803-779-0911
Fax Number : 803-256-2480
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2005
Last Update Date : 07/01/2010

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Directions to “ DR. RONALD L COLLINS MD” Practice Location

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