Individual
COLEEN J. COLLINS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1751 CALHOUN ST, COLUMBIA, SC 29201-2606
(803) 898-0580
(803) 898-0577
Mailing address
112 LASSITTER CT, LEXINGTON, SC 29072-7986
(803) 233-3999
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2407
SC
Other
Enumeration date
05/18/2006
Last updated
07/08/2007
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