MEDICARE: ROBERT DEAVER COLLINS JR. 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
1	207RR0500X	Rheumatology Physician	50499	TN

General Provider Information

NPI Number	:	1851474092
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT DEAVER COLLINS JR. M.D.

Provider Business Mailing Address
First Line	:	3024 BUSINESS PARK CIR
Second Line	:
City	:	GOODLETTSVILLE
State	:	TN
Zip	:	37072-3132
Country	:	US
Telephone Number	:	615-239-2018
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 CHARLOTTE AVE
Second Line	:	SUITE 102
City	:	NASHVILLE
State	:	TN
Zip	:	37203-2032
Country	:	US
Telephone Number	:	615-321-3277
Fax Number	:	615-321-3166

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

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	05/25/2023

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