DIANA LEE COLLINS

LAKE CITY, SC
NPI1033534151
Former NameDIANA L PEELER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  18807)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: SC  18807)
Enumeration Date2014-02-26
Last Update Date2020-10-08
Business Address
DIANA LEE COLLINS
148 SAULS ST
LAKE CITY, SC 29560-2677
Phone number: 843-374-3621
Mailing Address
DIANA LEE COLLINS
PO BOX 603898
CHARLOTTE, NC 28260-3898
Phone number: 843-792-6200