Jack Jay Collins

NPI #1962969568 in Cabot, Arkansas

Provider Information

NPI Number: 1962969568
Entity Type: Individual
Name: Jack Jay Collins
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Mar 1, 2019
Last Updated: Mar 1, 2019

Practice Location

Address: 2792 S 2ND ST
City: Cabot
State: Arkansas
ZIP Code: 72023-7020
Phone: (501) 268-3400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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