Provider Demographics
NPI:1346430980
Name:COLLINS, LINDA F (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:F
Last Name:COLLINS
Suffix:
Gender:F
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:PO BOX 669
Mailing Address - Street 2:
Mailing Address - City:MARIANNA
Mailing Address - State:AR
Mailing Address - Zip Code:72360-0669
Mailing Address - Country:US
Mailing Address - Phone:870-295-5225
Mailing Address - Fax:870-295-6900
Practice Address - Street 1:530 ATKINS BLVD
Practice Address - Street 2:
Practice Address - City:MARIANNA
Practice Address - State:AR
Practice Address - Zip Code:72360-2113
Practice Address - Country:US
Practice Address - Phone:870-295-5225
Practice Address - Fax:870-295-6900
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC5782207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR103037001Medicaid
ARA99055Medicare UPIN
AR103037001Medicaid