Individual
DR. SHAWNA COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 9TH AVE, CONWAY, SC 29526-4107
(843) 248-3843
Mailing address
1515 9TH AVE, CONWAY, SC 29526-4107
(843) 248-3843
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3287
SC
Other
Enumeration date
12/04/2013
Last updated
12/04/2013
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