Provider Demographics
NPI:1952389173
Name:COLLINS, MILLARD DARNELL JR (MD)
Entity type:Individual
Prefix:DR
First Name:MILLARD
Middle Name:DARNELL
Last Name:COLLINS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6064 FRONTIER LN
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-6221
Mailing Address - Country:US
Mailing Address - Phone:615-403-8622
Mailing Address - Fax:
Practice Address - Street 1:51 CENTURY BLVD STE 110
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37214-3614
Practice Address - Country:US
Practice Address - Phone:615-403-8622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN37790207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3896907Medicaid
TNI14003Medicare UPIN
TN3896907Medicaid