Individual
JARED L COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2525 COURT DR, GASTONIA, NC 28054-2140
(704) 834-2000
Mailing address
2525 COURT DR, GASTONIA, NC 28054-2140
(704) 864-8772
(704) 866-7853
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
286033
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
124305
NC
Other
Enumeration date
12/17/2018
Last updated
07/19/2019
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