Individual
MRS. ANGELA LYN COLLINS
Active
Individual
MRS. ANGELA LYN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA0000001224
TN
363AS0400X
Surgical Physician Assistant
Primary
1224
TN
Other
Enumeration date
05/15/2006
Last updated
07/01/2011
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