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NPI Code Detail

MEDICARE: MEREDITH LYNN COLLINS D.O.

MEDICARE: MEREDITH LYNN COLLINS D.O.
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
12085R0202XDiagnostic Radiology Physician03317TN
22085R0202XDiagnostic Radiology Physician5101020115MI
32085R0202XDiagnostic Radiology Physician2018-00848NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104189745
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEREDITH LYNN COLLINS D.O.
Provider Business Mailing Address
First Line : 2101 W ARLINGTON BLVD STE 210
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-5758
Country : US
Telephone Number : 252-752-5000
Fax Number : 252-931-7694
Provider Business Practice Location Address
First Line : 2101 W ARLINGTON BLVD STE 210
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-5758
Country : US
Telephone Number : 252-931-7638
Fax Number : 252-931-7694
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2012
Last Update Date : 01/13/2026

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Directions to “ MEREDITH LYNN COLLINS D.O.” Practice Location

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