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Individual

CHARLES KIRKLAND COLLINS

Active
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Individual

CHARLES KIRKLAND COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.N.

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R123405
MD
363L00000X
Nurse Practitioner
Primary
R123405
MD

Other

Enumeration date
05/14/2009
Last updated
10/14/2024
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