Individual
DR. CHARLES DANIEL COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1041 PARKSIDE COMMONS, SUITE 104, GREENSBORO, GA 30642
(706) 454-0044
Mailing address
131 W RIVER BEND DR, EATONTON, GA 31024-5328
(706) 830-6777
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DNO13550
GA
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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