Collin, Thea S

Collin, Thea S is an individual health care provider with primary practice located at 907 Bell St , Conway SC 29526-4113. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Collin, Thea S can be contacted via phone (843) 248-2727.

Contact Information

Primary practice address
907 Bell St Conway SC 29526-4113
Phone: (843) 248-2727
Fax: (843) 248-5107
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APN780 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent 364SP0807X APN780 South Carolina

Profile Details

NPI number 1639255078
LBN Legal business name Collin, Thea S
Credentials MS,PNP,CS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639255078 NPPES
South Carolina Other APN780 LICENSE NO

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