Provider Demographics
NPI:1912127861
Name:COLLINS, CHRISTY MICHELLE (NP)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:MICHELLE
Last Name:COLLINS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2855 OLD HIGHWAY 5 STE 110
Mailing Address - Street 2:
Mailing Address - City:BLUE RIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30513-6239
Mailing Address - Country:US
Mailing Address - Phone:706-946-5070
Mailing Address - Fax:706-946-5074
Practice Address - Street 1:2855 OLD HIGHWAY 5 STE 110
Practice Address - Street 2:
Practice Address - City:BLUE RIDGE
Practice Address - State:GA
Practice Address - Zip Code:30513-6239
Practice Address - Country:US
Practice Address - Phone:706-946-5070
Practice Address - Fax:706-946-5074
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN130301363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner