Individual
CALE CARLTON COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4007 CINNAMON FERN LN, WOODSTOCK, GA 30189-6910
(678) 234-3989
Mailing address
4007 CINNAMON FERN LN, WOODSTOCK, GA 30189-6910
(678) 234-3989
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X
GA
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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