Provider Demographics
NPI:1124301882
Name:COLLINS, KELLEY FLOWERS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KELLEY
Middle Name:FLOWERS
Last Name:COLLINS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:613 NORTHSIDE DR E
Mailing Address - Street 2:
Mailing Address - City:STATESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30458-2194
Mailing Address - Country:US
Mailing Address - Phone:912-489-3008
Mailing Address - Fax:912-489-3075
Practice Address - Street 1:613 NORTHSIDE DR E
Practice Address - Street 2:
Practice Address - City:STATESBORO
Practice Address - State:GA
Practice Address - Zip Code:30458-2194
Practice Address - Country:US
Practice Address - Phone:912-489-3008
Practice Address - Fax:912-489-3075
Is Sole Proprietor?:No
Enumeration Date:2011-09-20
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA022114183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist