Individual
MRS. AUDREY BOWNE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(864) 525-5105
Mailing address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(864) 525-5105
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
113221
SC
Other
Enumeration date
12/30/2016
Last updated
12/30/2016
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