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1053383000
JONATHAN C COLLINS
AIKEN, SC
NPI
1053383000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080A0000X Pediatrics, Adolescent Medicine
(Licence: SC 11083)
Enumeration Date
2006-02-03
Last Update Date
2007-07-08
Business Address
-- JONATHAN C COLLINS M.D.
206 CENTRE SOUTH BLVD
AIKEN, SC 29803-6319
Phone number: 803-642-9204
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Mailing Address
-- JONATHAN C COLLINS M.D.
30 CHERRY HILLS DR
AIKEN, SC 29803-5691
Phone number: 803-642-9525
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