NPI Code Details Logo

NPI 1104461946

NPI 1104461946 : ARIANA A COLLINS : ATLANTA, GA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1104461946
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ARIANA A COLLINS
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/15/2019
-----------------------------------------------------
    Last Update Date     |    03/28/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1000 JOHNSON FY RD NE 
-----------------------------------------------------
    City                 |    ATLANTA
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30342-1606
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    404-851-8000
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4614 MCTYRE WAY NW 
-----------------------------------------------------
    City                 |    MARIETTA
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30064-5622
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    720-327-7390
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    208600000X
-----------------------------------------------------
    Taxonomy Name        |    Surgery Physician
-----------------------------------------------------
    License Number       |    15-709
-----------------------------------------------------
    License Number State |    CO
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    246ZC0007X
-----------------------------------------------------
    Taxonomy Name        |    Surgical Assistant
-----------------------------------------------------
    License Number       |    15-709
-----------------------------------------------------
    License Number State |    CO
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    246ZC0007X
-----------------------------------------------------
    Taxonomy Name        |    Surgical Assistant
-----------------------------------------------------
    License Number       |    15-709
-----------------------------------------------------
    License Number State |    GA
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.