SAMUEL MCCOLLOCH

CHARLESTON, WV
NPI1790492866
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2022-10-28
Last Update Date2022-10-28
Business Address
SAMUEL MCCOLLOCH
200 ASSOCIATION DR STE 130
CHARLESTON, WV 25311-1277
Phone number: 304-988-4200
Mailing Address
SAMUEL MCCOLLOCH
200 ASSOCIATION DR STE 130
CHARLESTON, WV 25311-1277
Phone number: 304-988-4200