Kennieth Charles Mccollough JR. M.D.

NPI 1720243421 - Internal Medicine - 207R00000X

NPI Details
NPI 1720243421
Gender Male
Enumeration Date 07/22/2008
Last Updated 11/07/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
209 W SPRING ST
SUITE 305
SYLACAUGA AL, 35150-2973, US
Phone (256) 245-3201
Fax (256) 245-4112
Business Location
209 W SPRING ST
SUITE 305
SYLACAUGA AL, 35150-2973, US
Phone (256) 245-3201
Fax (256) 245-4112
Toxanomy
Taxonomy Code 207R00000X
License State Alabama
License Number MD29754
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According to our database, Kennieth Charles Mccollough JR. M.D. NPI is 1720243421, taxonomy code is 207R00000X and license number is MD29754, license state is located at Alabama. Kennieth Charles Mccollough JR. M.D. physically located at 209 W Spring St, Sylacauga AL, 35150-2973. NPI Number Kennieth Charles Mccollough JR. M.D. has the Individual type.

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1720243421 NPI number is provided on an as is basis without warranty of any kind. 1720243421 is maintained by the National Plan & Provider Enumeration System. The contents of Kennieth Charles Mccollough JR. M.D. are for informational purposes only.