Individual
CASSIDY DONLEY COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 692-1000
Mailing address
104 WATER DEER WAY, SURFSIDE BEACH, SC 29575-6207
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5406
SC
Other
Enumeration date
02/27/2024
Last updated
11/25/2024
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