Individual
ALEXIS N. MCCOLLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3215 N NORTH HILLS BLVD, SUITE B, FAYETTEVILLE, AR 72703
(479) 463-5500
(479) 463-5542
Mailing address
PO BOX 550, LOWELL, AR 72745-0550
(479) 463-7775
(479) 463-7187
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E-7543
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196640001
—
AR
Enumeration date
04/11/2008
Last updated
03/08/2021
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