Individual
TAKISHA BROWN MCCOLLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
806 S MARTIN LUTHER KING JR ST, ROWLAND, NC 28383-9805
(910) 734-2952
Mailing address
PO BOX 821, ROWLAND, NC 28383-0821
(910) 734-2952
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
07/11/2019
Last updated
02/26/2020
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