Individual
DR. CHARLES RAMSEY MCCOLLUM III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5650
(601) 579-5212
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5650
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
20908
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08758585
—
MS
01
—
3554163
UNITED HEALTHCARE
MS
01
—
4225057
AETNA
MS
01
—
6010038
CIGNA
MS
01
—
6092134
HEALTHSPRINGS
MS
Enumeration date
07/05/2007
Last updated
07/21/2020
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