Dr. Kenneth Ray Collins JR.
Oral and Maxillofacial Surgeon
100 Carnegie Pl Suite 108
Fayetteville
, Georgia 30214-3905
Dr. Kenneth Ray Collins JR.
Oral and Maxillofacial Surgeon
100 Carnegie Pl Suite 108
Fayetteville
, Georgia 30214-3905
(770) 461-0488
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Kenneth Ray Collins JR.
- 100 Carnegie Pl Suite 108
- Fayetteville, GA
- Zip : 30214-3905
- Fax : (770) 461-0488
- Phone : (770) 461-0188
Second Address
- Dr. Kenneth Ray Collins JR.
- 100 Carnegie Pl Suite 108
- Fayetteville, GA
- Zip : 30214-3905
- Fax : (770) 461-0488
- Phone : (770) 461-0188
Reviews
FAQs
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Is Dr. Kenneth Ray Collins JR. a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 012476 | GA |
National Provider Identifier
| NPI | 1114006020 |
|---|---|
| Provider Name | Dr. Kenneth Ray Collins JR. |
| First Address | Fayetteville, GA 30214-3905 |
| Second Address | Fayetteville, GA 30214-3905 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/11/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.