Individual
FALICIA COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1321 WALTON LN SE, SMYRNA, GA 30082-3875
(316) 461-9922
Mailing address
1321 WALTON LN SE, SMYRNA, GA 30082-3875
(316) 461-9922
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN087644
GA
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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