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Individual

ANNISSA VERNITA COLLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
908 1ST AVE SW, MOULTRIE, GA 31768-4406
(229) 429-2450
Mailing address
908 1ST AVE SW, MOULTRIE, GA 31768-4406
(229) 429-2450

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary

Other

Enumeration date
08/05/2021
Last updated
08/05/2021
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