Organization
E. GAYLON MCCOLLOUGH MD, LLC
Active
Other names
McCollough Plastic Surgery Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIS O PRIESTER III (CHIEF OPERATING OFFICER)
(251) 967-7673
Entity
Organization
Contact information
Practice address
350 CYPRESS BEND DR, GULF SHORES, AL 36542-2773
(251) 967-7673
(251) 967-7647
Mailing address
PO BOX 4249, GULF SHORES, AL 36547-4249
(251) 967-7673
(251) 967-7647
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
5584
AL
Other
Enumeration date
04/25/2007
Last updated
08/27/2008
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