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Individual
DR. AMY E MCCOLLUM
Active
Individual
DR. AMY E MCCOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD.30180
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000127948
—
AL
01
—
1811959679
TRICARE SOUTH
AL
01
—
511-14676
BCBS
AL
Enumeration date
04/05/2006
Last updated
01/04/2016
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