Horace Jay Collinsworth M.D.

NPI 1033118443 - Pediatrics - 208000000X

NPI Details
NPI 1033118443
Gender Male
Enumeration Date 07/18/2005
Last Updated 05/20/2015
Entity Type Individual
Active Over 12 years ago
Practice Location
8415 GOODWOOD BLVD
SUITE 100
BATON ROUGE LA, 70806-7851, US
Phone (225) 765-5633
Fax (225) 765-5634
Business Location
8415 GOODWOOD BLVD
SUITE 100
BATON ROUGE LA, 70806-7851, US
Phone (225) 765-5633
Fax (225) 765-5634
Toxanomy
Taxonomy Code 208000000X
License State Louisiana
License Number 016171
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According to our database, Dr. Horace Jay Collinsworth M.D. NPI is 1033118443, taxonomy code is 208000000X and license number is 016171, license state is located at Louisiana. Horace Jay Collinsworth M.D. physically located at 8415 Goodwood Blvd, Baton Rouge LA, 70806-7851. NPI Number Horace Jay Collinsworth M.D. has the Individual type.

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1033118443 NPI number is provided on an as is basis without warranty of any kind. 1033118443 is maintained by the National Plan & Provider Enumeration System. The contents of Horace Jay Collinsworth M.D. are for informational purposes only.