Provider Demographics
NPI:1518348523
Name:COLLINS, GRIFFIN SINCLAIR (MD)
Entity Type:Individual
Prefix:DR
First Name:GRIFFIN
Middle Name:SINCLAIR
Last Name:COLLINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:262 DANNY THOMAS PL
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38105-3678
Mailing Address - Country:US
Mailing Address - Phone:901-595-0440
Mailing Address - Fax:901-595-1591
Practice Address - Street 1:930 MADISON AVE SUITE 840
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38163-1002
Practice Address - Country:US
Practice Address - Phone:901-287-5584
Practice Address - Fax:901-287-5198
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-16
Last Update Date:2022-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015018539208000000X
CAA1544482080H0002X, 2080P0207X
TN641452080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080H0002XAllopathic & Osteopathic PhysiciansPediatricsHospice and Palliative Medicine