Mccollum, Charles Ramsey

Mccollum, Charles Ramsey is an individual health care provider with primary practice located at 415 S 28Th Ave , Hattiesburg MS 39401-7246. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Mccollum, Charles Ramsey can be contacted via phone (601) 268-5650.

Contact Information

Primary practice address
415 S 28Th Ave Hattiesburg MS 39401-7246
Phone: (601) 268-5650
Fax: (601) 579-5212
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 20908 Mississippi

Profile Details

NPI number 1043418692
LBN Legal business name Mccollum, Charles Ramsey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2007
Last updated Jul 21st, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043418692 NPPES
Mississippi Other 6092134 HEALTHSPRINGS
Mississippi Other 6010038 HEALTHSPRINGS
Mississippi MEDICAID 08758585 HEALTHSPRINGS
Mississippi Other 4225057 HEALTHSPRINGS
Mississippi Other 3554163 HEALTHSPRINGS

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