Provider Demographics
NPI:1710548037
Name:COLLINS, ANN BELTON (DO)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:BELTON
Last Name:COLLINS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6401 MOUNTAIN VIEW RD STE 109
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-6685
Mailing Address - Country:US
Mailing Address - Phone:423-495-5951
Mailing Address - Fax:423-495-5999
Practice Address - Street 1:6401 MOUNTAIN VIEW RD STE 109
Practice Address - Street 2:
Practice Address - City:OOLTEWAH
Practice Address - State:TN
Practice Address - Zip Code:37363-6685
Practice Address - Country:US
Practice Address - Phone:423-495-5951
Practice Address - Fax:423-495-5999
Is Sole Proprietor?:No
Enumeration Date:2019-06-26
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN00000207Q00000X
ALDO.2781207QH0002X
AL4979R207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine