MEDICARE: SEAN 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
1	207P00000X	Emergency Medicine Physician	35-075451	OH
2	207P00000X	Emergency Medicine Physician	MD47458	TN

Other Identifiers

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

General Provider Information

NPI Number	:	1780775643
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEAN COLLINS MD

Provider Business Mailing Address
First Line	:	3841 GREEN HILLS VILLAGE DR STE 200
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-2691
Country	:	US
Telephone Number	:	615-875-6151
Fax Number	:	615-936-3754

Provider Business Practice Location Address
First Line	:	1313 21ST AVE S
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37232-4700
Country	:	US
Telephone Number	:	615-875-6151
Fax Number	:	615-936-3754

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	03/26/2022

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Directions to “ SEAN COLLINS MD” Practice Location

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