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Contact Information

R DEAVER COLLINS MD PA
1190 N STATE ST
SUITE 302
JACKSON, MS39202-2413
 Phone: 601-353-7090
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rheumatology

207RR0500X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for R DEAVER COLLINS MD PA · (Female)

NPI # 1780028670
Status Active
Credentials
Entity Individual
Enumeration date 04/22/2013
Last updated 04/22/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS License # AC1150414
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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