Individual
SYLVESTA COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2178 SAVANNAH HWY STE J, CHARLESTON, SC 29414-5311
(843) 324-0962
Mailing address
1643-B SAVANNAH HWY, BOX 370, CHARLESTON, SC 29407
(843) 324-0962
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
B0003059
SC
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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