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Individual

MS. THEA S COLLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS,PNP,CS

Contact information

Practice address
907 BELL ST, CONWAY, SC 29526-4113
(843) 248-2727
(843) 248-5107
Mailing address
5105 COLUMBIA ST, CONWAY, SC 29526-8607

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
APN780
SC
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
Primary
APN780
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
APN780
LICENSE NO
SC
Enumeration date
10/28/2006
Last updated
09/11/2025
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