Mccollam, Stephen Mason
Mccollam, Stephen Mason is an individual health care provider with primary practice located at 2001 Peachtree Rd Ne Suite 705, Atlanta GA 30309-1476. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Mccollam, Stephen Mason can be contacted via phone (404) 355-0743.Contact Information
Primary practice address
2001 Peachtree Rd Ne Suite 705
Atlanta GA 30309-1476
Phone: (404) 355-0743
Fax: (404) 355-2136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 030820 | Georgia |
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 030820 | Georgia |
Profile Details
| NPI number | 1659373686 |
|---|---|
| LBN Legal business name | Mccollam, Stephen Mason |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Aug 12th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659373686 | NPPES |
| Other | 0486290001 | DME | |
| MEDICAID | 003836SSA | DME |
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