Provider Demographics
NPI:1609481910
Name:COLLINS, ZOLA RAY (MPH, RD)
Entity Type:Individual
Prefix:
First Name:ZOLA
Middle Name:RAY
Last Name:COLLINS
Suffix:
Gender:F
Credentials:MPH, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5840 FARRINGTON RD APT 204
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-8215
Mailing Address - Country:US
Mailing Address - Phone:803-413-7518
Mailing Address - Fax:
Practice Address - Street 1:5840 FARRINGTON RD APT 204
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-8215
Practice Address - Country:US
Practice Address - Phone:803-413-7518
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-14
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
86146948133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered