Individual
MS. LIANNA CAROLYN MCCOLLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4112 COPPERFIELD DR, CHESAPEAKE, VA 23321-1802
(757) 809-7300
Mailing address
4112 COPPERFIELD DR, CHESAPEAKE, VA 23321-1802
(757) 809-7300
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/02/2017
Last updated
07/21/2022
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