Individual
CHRISTINA COLLECTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3621 GIN WAY, SNELLVILLE, GA 30039-8709
(404) 641-5006
Mailing address
3621 GIN WAY, SNELLVILLE, GA 30039-8709
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10751
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10751
PHYSICIAN ASSISTANT LICENSE
GA
Enumeration date
03/21/2022
Last updated
04/04/2022
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