Organization
DEPARTMENT OF VETERAN AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CYNTHIA REGINA COLLINS MSW (SOCIAL WORKER)
(678) 442-8619
Entity
Organization
Contact information
Practice address
1122 PROVIDENCE WAY, LAWRENCEVILLE, GA 30046-3316
(678) 442-8619
Mailing address
1122 PROVIDENCE WAY, LAWRENCEVILLE, GA 30046-3316
(678) 442-8619
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
—
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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