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NPI Code Detail

MEDICARE: MS. ANN M COLLINS PA

MEDICARE: MS. ANN M COLLINS PA
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
1363A00000XPhysician Assistant0010-01003NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
22759119AOTHERNCMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1159EPOTHERNCBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750578753
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANN M COLLINS PA
Provider Business Mailing Address
First Line : 2000 PERIMETER PARK DR STE 200
Second Line :
City : MORRISVILLE
State : NC
Zip : 27560-8442
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 75 FREEDOM PKWY STE C
Second Line :
City : PITTSBORO
State : NC
Zip : 27312-4939
Country : US
Telephone Number : 919-545-0911
Fax Number : 919-545-0096
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2007
Last Update Date : 05/06/2021

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Directions to “ MS. ANN M COLLINS PA” Practice Location

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