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General NPI Number Information
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NPI Number | 1386882603
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Entity Type | Individual
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Provider Name | CARLA D. COLLINS FNP
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Gender | Female
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Dates
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Enumeration Date | 01/23/2009
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 200A S MAIN ST
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City | REIDSVILLE
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State | GA
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Zip | 30453-4602
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Country | US
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Telephone | 912-914-2034
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 38
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City | REIDSVILLE
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State | GA
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Zip | 30453-0038
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Country | US
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Telephone | 912-542-3050
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Fax | 912-542-3051
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN176277
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN176277
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License Number State | GA
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