Individual
SYLVIA MCCOLLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
102 DARRYL LN, CLIO, SC 29525-4441
(843) 586-9857
(843) 586-7942
Mailing address
102 DARRYL LN, CLIO, SC 29525-4441
(843) 586-9857
(843) 586-7942
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
6863
SC
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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