MICHELLE MCCOLLAM

MONTGOMERY, WV
NPI1700955564
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: WV  01025)
Enumeration Date2006-11-07
Last Update Date2007-07-08
Business Address
-- MICHELLE MCCOLLAM PA-C
401 6TH AVE SUITE 102
MONTGOMERY, WV 25136-2116
Phone number: 304-442-8381
Mailing Address
-- MICHELLE MCCOLLAM PA-C
PO BOX 30
MONTGOMERY, WV 25136-0030
Phone number: 304-442-8381
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