Individual
EMMA COLLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4211 AERIE CIR, EVANS, GA 30809-4887
(912) 506-4435
Mailing address
4211 AERIE CIR, EVANS, GA 30809-4887
(912) 506-4435
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN-CRNA269391
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN269391
GA
Other
Enumeration date
02/05/2024
Last updated
03/05/2026
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