Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 054621 | GA |
N | 207VG0400X | Gynecologist | 054621 | GA |
N | 207VX0000X | Obstetrician | 054621 | GA |
NPI | 1083636351 |
---|---|
Provider Name | Dr. Barbara H Mccollum |
First Address | Thomasville, GA 31792-6198 |
Second Address | Thomasville, GA 31792-6198 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 13/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
16BBDDK | (02) | GA |
902911713C | (05) | GA |
902911713D | (05) | GA |