Collins, Jocelyn Daisy
Collins, Jocelyn Daisy is an individual health care provider with primary practice located at 2400 Mount Zion Pkwy Southwood Medical Center Department Of After Hours, Jonesboro GA 30236-2500. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Collins, Jocelyn Daisy can be contacted via phone (770) 603-3704.Contact Information
Primary practice address
2400 Mount Zion Pkwy Southwood Medical Center Department Of After Hours
Jonesboro GA 30236-2500
Phone: (770) 603-3704
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 050145 | Georgia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 050145 | Georgia |
Profile Details
| NPI number | 1689665895 |
|---|---|
| LBN Legal business name | Collins, Jocelyn Daisy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2005 |
| Last updated | Jan 13th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689665895 | NPPES |
| Georgia | MEDICAID | 000913943C |
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