Individual
MRS. HEATHER LYNN COLLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
2051 WEST ST, ANNAPOLIS, MD 21401-3006
(443) 603-0758
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0004967
MD
Other
Enumeration date
01/25/2013
Last updated
03/24/2021
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