Individual
CAROLYN EMILY COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9456 CHARLOTTE HWY STE 202, INDIAN LAND, SC 29707-7953
(803) 674-4944
Mailing address
4810 ASHLEY PARK LN APT 1416, CHARLOTTE, NC 28210-3882
(704) 910-9169
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DGD.10775
SC
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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