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1427036409
KENNON HOWARD MCCOLLUM
STOCKBRIDGE, GA
NPI
1427036409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN102128)
Enumeration Date
2006-01-09
Last Update Date
2020-08-19
Business Address
Mr. KENNON HOWARD MCCOLLUM MSN
1045 SOUTHCREST DR SUITE 200
STOCKBRIDGE, GA 30281-6113
Phone number: 678-289-0549
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Mailing Address
Mr. KENNON HOWARD MCCOLLUM MSN
1835 SAVOY DR SUITE 300
ATLANTA, GA 30341-1072
Phone number: 678-289-0549
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