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Individual

MATTHEW DAVID MCCOLLOUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2630 GRANT LINE RD, NEW ALBANY, IN 47150-4053
(502) 888-1988
(812) 944-3594
Mailing address
PO BOX 381468, GERMANTOWN, TN 38183-1468

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01068526A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200822570
IN
05
64120116
KY
Enumeration date
05/18/2006
Last updated
02/16/2026
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