Carissa Jane Collins CPC

NPI 1578862918 - Specialist - 174400000X

NPI Details
NPI 1578862918
Gender Female
Enumeration Date 03/24/2011
Last Updated 03/24/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
2035 SAINT JOHN AVE
DYERSBURG TN, 38024-2209, US
Phone (731) 541-8344
Fax
Business Location
238 SUMMAR DR
JACKSON TN, 38301-3906, US
Phone (731) 541-8344
Fax
Toxanomy
Taxonomy Code 174400000X
License State
License Number
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According to our database, Carissa Jane Collins CPC NPI is 1578862918, taxonomy code is 174400000X Carissa Jane Collins CPC physically located at 2035 Saint John Ave, Dyersburg TN, 38024-2209. NPI Number Carissa Jane Collins CPC has the Individual type.

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1578862918 NPI number is provided on an as is basis without warranty of any kind. 1578862918 is maintained by the National Plan & Provider Enumeration System. The contents of Carissa Jane Collins CPC are for informational purposes only.