Individual
MADISON MCCOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60368 COTTON GIN PORT RD, AMORY, MS 38821-9104
(662) 257-3669
(662) 257-3961
Mailing address
60368 COTTON GIN PORT RD, AMORY, MS 38821-9104
(662) 257-3669
(662) 257-3961
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S-4930
MS
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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