DR. Stephen Marc Wascomb, M.D.

NPI #1366691644 in Columbia, Mississippi

Provider Information

NPI Number: 1366691644
Entity Type: Individual
Name: DR. Stephen Marc Wascomb, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Sep 11, 2008
Last Updated: Apr 20, 2021

Practice Location

Address: 554 SINGLEY RD
City: Columbia
State: Mississippi
ZIP Code: 39429-9156
Phone: (601) 600-0036

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary
General Practice	208D00000X

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