Mittie Charolett Collins

NPI #1073174348 in Cabot, Arkansas

Provider Information

NPI Number: 1073174348
Entity Type: Individual
Name: Mittie Charolett Collins
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Jun 26, 2019
Last Updated: Jun 26, 2019

Practice Location

Address: 2792 S 2ND ST STE B
City: Cabot
State: Arkansas
ZIP Code: 72023-7064
Phone: (870) 932-3600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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