Provider Demographics
NPI:1053354142
Name:COLLINS, FRANCIS FARRELL JR (MD)
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:FARRELL
Last Name:COLLINS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 PAGE RD
Mailing Address - Street 2:
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28374-8798
Mailing Address - Country:US
Mailing Address - Phone:910-295-9359
Mailing Address - Fax:
Practice Address - Street 1:205 PAGE RD
Practice Address - Street 2:
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374-8798
Practice Address - Country:US
Practice Address - Phone:910-295-9359
Practice Address - Fax:910-235-3419
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2018-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21018207RP1001X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC110081943OtherPALMETTO GBA PROVIDER#
NCFH1000075OtherFIRSTCAROLINACARE #
NC7923791Medicaid
NC23791OtherBCBS NC PROVIDER#
NC4800448OtherEVERCARE
SCQ21018OtherSC MEDICAID PROVIDER#
NC80114OtherMEDCOST PROVIDER#
NC7923791Medicaid
NCFH1000075OtherFIRSTCAROLINACARE #