KENNON HOWARD MCCOLLUM

STOCKBRIDGE, GA
NPI1427036409
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: GA  RN102128)
Enumeration Date2006-01-09
Last Update Date2020-08-19
Business Address
MR. KENNON HOWARD MCCOLLUM MSN
1045 SOUTHCREST DR SUITE 200
STOCKBRIDGE, GA 30281-6113
Phone number: 678-289-0549
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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