| Mccollum Hometown Healthcare Pllc | |
|
1253 Rock Springs Rd Smyrna TN 37167-8365 | |
| (615) 790-7992 | |
| (615) 790-8688 |
| Full Name | Mccollum Hometown Healthcare Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1253 Rock Springs Rd, Smyrna, Tennessee |
| Authorized Official Name and Position | Joshua Mccollum (OWNER) |
| Authorized Official Contact | 6157907992 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mccollum Hometown Healthcare Pllc 1253 Rock Springs Rd Smyrna TN 37167-8365 Ph: (615) 790-7992 | Mccollum Hometown Healthcare Pllc 1253 Rock Springs Rd Smyrna TN 37167-8365 Ph: (615) 790-7992 |
| NPI Number | 1346859832 |
|---|---|
| Provider Enumeration Date | 07/30/2020 |
| Last Update Date | 11/06/2020 |
| Medicare PECOS PAC ID | 2365869872 |
|---|---|
| Medicare Enrollment ID | O20201117003279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346859832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Joshua Mark Mccollum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942299359 PECOS PAC ID: 8729270269 Enrollment ID: I20101026000265 |
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