| NPI | 1043439128 |
|---|---|
| Doing Business As | MCCOLLOUGH PLASTIC SURGERY CLINIC |
| Entity Type | Organization |
| Authorized Contact | LOUIS O PRIESTER Chief Operating Officer 251-967-7673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AL 5584) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2008-08-27 |