Individual
AMANDA COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
NORTHWEST CORRECTIONS, TIPTONVILLE, TN 38079
(731) 253-5000
Mailing address
4275 LENOX NAUVOO RD, DYERSBURG, TN 38024-6113
(731) 286-6644
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
315
TN
Other
Enumeration date
06/22/2007
Last updated
07/08/2007
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