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Individual

THOMAS MCCOLLUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
202 HART ST, SNOW HILL, NC 28580-1704
(252) 747-7824
Mailing address
PO BOX 295, SNOW HILL, NC 28580-0295
(252) 747-4000
(252) 747-2602

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Enumeration date
03/06/2007
Last updated
07/08/2007
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