Individual
MR. LARRIOUS EARL COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1871 N ELM ST, COMMERCE, GA 30529-2349
(706) 659-3540
(706) 659-3541
Mailing address
2964 SILVERMERE LN, DULUTH, GA 30097-4324
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 002349
GA
Other
Enumeration date
12/19/2006
Last updated
10/12/2021
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