Provider Demographics
NPI:1023028370
Name:DRS COLLINS AND TWIGG P.C.
Entity type:Organization
Organization Name:DRS COLLINS AND TWIGG P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-535-9900
Mailing Address - Street 1:5005 SIGNAL BELL CT STE 208
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21029-2608
Mailing Address - Country:US
Mailing Address - Phone:443-535-9900
Mailing Address - Fax:443-535-9901
Practice Address - Street 1:5005 SIGNAL BELL CT STE 208
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21029-2608
Practice Address - Country:US
Practice Address - Phone:443-535-9900
Practice Address - Fax:443-535-9901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD144004700Medicaid
632LMedicare UPIN