Individual
XALICIA MCCOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
228 SMITH CHAPEL RD, MOUNT OLIVE, NC 28365-1917
(919) 658-9522
Mailing address
6709 CHURCH ST, SELLERS, SC 29592-7019
(843) 617-9555
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
5042
SC
225200000X
Physical Therapy Assistant
Primary
—
NC
Other
Enumeration date
03/05/2024
Last updated
03/19/2024
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