Individual
NICOLE COLLAZO NIEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 S BROAD ST STE A300, MONROE, GA 30655-2598
(470) 980-2447
Mailing address
600 S BROAD ST STE A300, MONROE, GA 30655-2598
(470) 980-2447
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR011259
GA
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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