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NPI Code Detail

MEDICARE: DR. VERA COLLINS MD

MEDICARE: DR. VERA 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
1207Q00000XFamily Medicine Physician056035GA

Other Identifiers

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

General Provider Information

NPI Number : 1942299482
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VERA COLLINS MD
Provider Business Mailing Address
First Line : 3500 WE KNIGHT DR
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-6248
Country : US
Telephone Number : 479-709-8686
Fax Number : 479-709-8687
Provider Business Practice Location Address
First Line : 3500 WE KNIGHT DR
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-6248
Country : US
Telephone Number : 479-709-8686
Fax Number : 479-709-8687
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2005
Last Update Date : 08/08/2011

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Directions to “ DR. VERA COLLINS MD” Practice Location

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