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NPI Profile for ELLIS M COLLINS JR in FORREST CITY, AR.
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice |
| NPI Number | 1962647628 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 12/10/2008 | |
| Last updated | 12/10/2008 - About 17 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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ELLIS M COLLINS JR
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ELLIS M COLLINS JR, MD