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Individual

AMELIA KAYE COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
589 HIGHWAY 115, DEMOREST, GA 30535-3736
(678) 707-6500
Mailing address
589 HIGHWAY 115, DEMOREST, GA 30535-3736
(678) 707-6500

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
25157335
GA

Other

Enumeration date
08/15/2025
Last updated
08/15/2025
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