Michelle Mccollam, PA-C

NPI #1700955564 in Montgomery, West Virginia

Provider Information

NPI Number: 1700955564
Entity Type: Individual
Name: Michelle Mccollam, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 7, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 401 6TH AVE
Address 2: SUITE 102
City: Montgomery
State: West Virginia
ZIP Code: 25136-2116
Phone: (304) 442-8381

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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