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NPI Code Detail

MEDICARE: GEORGE H. COLLINS M.D.

MEDICARE:   GEORGE H. COLLINS  M.D.
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
1207L00000XAnesthesiology Physician024649TN

General Provider Information

NPI Number : 1609965045
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGE H. COLLINS M.D.
Provider Business Mailing Address
First Line : 225 S LAKE AVE
Second Line : #535
City : PASADENA
State : CA
Zip : 91101-3005
Country : US
Telephone Number : 626-795-6596
Fax Number : 626-795-8247
Provider Business Practice Location Address
First Line : 310 COLLOREDO BLVD
Second Line :
City : SHELBYVILLE
State : TN
Zip : 37160-2764
Country : US
Telephone Number : 931-680-9400
Fax Number : 931-684-5122
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2006
Last Update Date : 07/08/2007

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Directions to “ GEORGE H. COLLINS M.D.” Practice Location

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