Provider Demographics
NPI:1154732436
Name:COLLINS, MARCUM (MD)
Entity type:Individual
Prefix:DR
First Name:MARCUM
Middle Name:
Last Name:COLLINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:MARC
Other - Middle Name:
Other - Last Name:COLLINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1932 ALCOA HIGHWAY
Mailing Address - Street 2:MEDICAL BUILDING C, SUITE 550
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920
Mailing Address - Country:US
Mailing Address - Phone:865-305-6543
Mailing Address - Fax:865-305-2694
Practice Address - Street 1:1932 ALCOA HIGHWAY
Practice Address - Street 2:MEDICAL BUILDING C, SUITE 550
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920
Practice Address - Country:US
Practice Address - Phone:865-305-6543
Practice Address - Fax:865-305-2694
Is Sole Proprietor?:No
Enumeration Date:2014-05-08
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
ALMD.36162207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program