Individual
DELIA WEBSTER COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
107 CANAL ST, POOLER, GA 31322-4016
(912) 450-1945
(912) 450-1949
Mailing address
107 CANAL STREET, POOLER, GA 31322-4016
(912) 450-1945
(912) 450-1949
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN175975
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN175975
LICENSE NUMBER
GA
Enumeration date
07/28/2011
Last updated
03/07/2023
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