Individual
JANNAS ETHELDRABROWN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
506 BYPASS 72, ASPEN DENTAL, NORTHWEST, GREENWOOD, SC 29649
(864) 396-4200
Mailing address
506 BYPASS 72 NORTHWEST, ASPEN DENTAL, GREENWOOD, SC 29649
(864) 396-4200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3495
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX3495
—
SC
Enumeration date
06/01/2006
Last updated
05/22/2015
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