Individual ProviderDavid Dutrow CollinsInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address3333 Brookview Hills Blvd, Ste 207, Winston-Salem, NC 27103-5661(336) 765-5250(336) 802-2400PECOS EnrollmentBased on the most recent information from CMS, provider David Dutrow Collins does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1962407072Provider TypeIndividualFull NameCollins, David DutrowCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date6/15/2005Last Updated7/7/2009Contact InformationPractice LocationPractice Address3333 Brookview Hills Blvd, Ste 207, Winston-Salem, NC 27103-5661Phone(336) 765-5250Fax(336) 659-0953Mailing LocationMailing Address1701 Westchester Dr, Ste 850, High Point, NC 27262-7254Phone(336) 802-2400Fax(336) 802-2001Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense27145North CarolinaCode207RP1001XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense27145North CarolinaProvider IdentifiersIDDescriptionIssuerID5900496DescriptionMedicaidIssuerUnlistedNorth CarolinaIDP00391425DescriptionOtherIssuerRR MEDICARENorth CarolinaID27145DescriptionOtherIssuerMEDICAL LICENSENorth Carolina