Individual
LADY CAROLINA COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
3780 HOLCOMB BRIDGE RD, PEACHTREE CORNERS, GA 30092-4855
(770) 263-9102
Mailing address
3780 HOLCOMB BRIDGE RD, PEACHTREE CORNERS, GA 30092-4855
(770) 263-9102
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN236463
GA
Other
Enumeration date
01/08/2019
Last updated
10/25/2020
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