Martin, Kristie Collins

Martin, Kristie Collins is an individual health care provider with primary practice located at 460 Country Club Rd , Lumberton NC 28360-9494. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Martin, Kristie Collins can be contacted via phone (910) 671-3200.

Contact Information

Primary practice address
460 Country Club Rd Lumberton NC 28360-9494
Phone: (910) 671-3200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 000103914 North Carolina

Profile Details

NPI number 1053396101
LBN Legal business name Martin, Kristie Collins
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Jan 8th, 2024 - about 10 months 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 1053396101 NPPES
North Carolina MEDICAID 103914
North Carolina Other 103914

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