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Individual

AMBER COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAC, MACOM, DACOM

Contact information

Practice address
424 MARYVILLE HWY STE 2, SEYMOUR, TN 37865-5739
(865) 934-9394
Mailing address
1812 MCCAMMON RD, KNOXVILLE, TN 37920-7552

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
331
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
331
STATE LICENSE NUMBER
TN
Enumeration date
02/12/2019
Last updated
02/12/2019
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