Individual
NOAH BENJAMIN MCCOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
330 N WABASH AVE STE 110, MARION, IN 46952-2677
(765) 664-1201
(765) 664-2866
Mailing address
113 N COVENTRY DR, ANDERSON, IN 46012-3218
(765) 717-9427
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
10004996A
IN
Other
Enumeration date
06/12/2025
Last updated
10/21/2025
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