Individual
DR. VASILIKI STABOLITIS COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2372
(704) 355-6692
Mailing address
PO BOX 36351, CHARLOTTE, NC 28236-6351
(704) 377-5772
(704) 377-3389
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
9400450
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89133TM
—
NC
01
—
I74634
MEDICAID
SC
Enumeration date
10/14/2005
Last updated
08/08/2008
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