Individual
LIONEL D MCCOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9430 PARKWEST BLVD, SUITE 320, KNOXVILLE, TN 37923
(865) 769-4488
Mailing address
9430 PARKWEST BLVD, SUITE 320, KNOXVILLE, TN 37923
(865) 769-4444
(865) 769-4419
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
MD12163
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3894349
—
TN
Enumeration date
05/19/2006
Last updated
04/21/2015
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