Individual
MAX COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1929 LEANDER DR, WEST COLUMBIA, SC 29172-2559
(803) 955-0178
Mailing address
1929 LEANDER DR, WEST COLUMBIA, SC 29172-2559
(803) 955-0178
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1375
SC
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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