Individual
SUSAN M COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
455 LAKESHORE PKWY, ROCK HILL, SC 29730-4205
(803) 909-6363
(803) 324-2264
Mailing address
455 LAKESHORE PKWY, ROCK HILL, SC 29730-4205
(803) 909-6363
(803) 324-2264
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2854
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z28541
—
SC
Enumeration date
08/30/2006
Last updated
10/09/2020
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