Individual
GARRETT SAMUEL COLLUMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
740 S SALEM RD STE 103, CONWAY, AR 72034-5520
(501) 654-4410
Mailing address
1605 SIMMS ST, CONWAY, AR 72034-6413
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
03/18/2024
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