Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 9700904 | NC |
N | 111NI0900X | Internist | 9700904 | NC |
Y | 207RH0003X | Hematology & Oncology | 9700904 | NC |
NPI | 1023064896 |
---|---|
Provider Name | Dr. Timothy S Collins |
First Address | Charlotte, NC 28275-5216 |
Second Address | Winston Salem, NC 27103-3013 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2006 |
Last Update Date | 12/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010291046 | (05) | VA |
1023064896 | (05) | VA |
1398C | BCBS (01) | NC |
188800 | MEDCOST (01) | |
2527191 | UNITED HEALTHCARE (01) | |
3363840 | CIGNA HEALTHCARE (01) | |
806520 | PARTNERS (01) | |
891080X | (05) | NC |
G59064 | (02) | |
P00337924 | RAILROAD MEDICARE (01) |