Individual
SHELIA COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 DEER CREEK, ARCOLA, MS 38722-3239
(662) 827-0607
Mailing address
201 MERCER AVE, HOLLANDALE, MS 38748-3239
(662) 827-0607
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
261QA0600X
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800225357
—
MS
Enumeration date
11/12/2014
Last updated
11/19/2014
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