Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | OS-015700 | PA |
NPI | 1023209533 |
---|---|
Provider Name | Sherilyn Lisa Tittermary Mccollum |
First Address | Warrington, PA 18976-2010 |
Second Address | Doylestown, PA 18901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2007 |
Last Update Date | 24/02/2021 |