Individual
GENISE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202 ROBIN LN, MOULTRIE, GA 31788-7281
(229) 921-9814
Mailing address
202 ROBIN LN, MOULTRIE, GA 31788-7281
(229) 921-9814
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0028840148
GA
Other
Enumeration date
10/17/2020
Last updated
10/17/2020
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