# E. GAYLON MCCOLLOUGH MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** McCollough Plastic Surgery Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043439128
- **Authorized official:** MR. LOUIS O PRIESTER III (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (251) 967-7673

## Contact information

- **Practice address:** 350 CYPRESS BEND DR, GULF SHORES, AL 36542-2773
- **Practice address phone:** (251) 967-7673
- **Practice address fax:** (251) 967-7647
- **Mailing address:** PO BOX 4249, GULF SHORES, AL 36547-4249
- **Mailing address phone:** (251) 967-7673
- **Mailing address fax:** (251) 967-7647

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 5584 | AL | Yes |

## Other

- **Enumeration date:** 04/25/2007
- **Last updated:** 08/27/2008