| NPI | 1104586577 |
|---|---|
| Doing Business As | KINGS DAUGHTERS MEDICAL CENTER COLLINS FAMILY CARE |
| Entity Type | Organization |
| Authorized Contact | SARA MARKS CEO 606-408-4401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2021-12-27 |
| Last Update Date | 2024-03-04 |