Organization Name: | COLLINS CARDIOLOGY |
NPI Number: | 1245389006 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT DARRELL COLLINS (OWNER / PROVIDER) |
Mailing Address: | 182 Perry House Rd Ste D Fitzgerald |
State: | GA US |
Postal Code: | 317508721 |
Phone Number: | 2294247273 |
Fax Number: | 2294247280 |
NPI Enumeration Date: | 01/10/2007 |
NPI Last Update Date: | 08/03/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207UN0901X |
License Number: | 048034 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Nuclear Medicine |
Taxonomy Specialization: | Nuclear Cardiology |
Taxonomy Definition: | A nuclear medicine physician who specializes in nuclear cardiology. |