Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STEPHEN MARC WASCOMB, M.D.
Active Sole ProprietorDR. STEPHEN MARC WASCOMB, M.D. is a General Practice healthcare provider located in COLUMBIA, Mississippi. NPI 1366691644 is currently active in the NPPES registry. Verify at CMS.
General Practice · COLUMBIA, MS
Registration Details
- NPI Number
- 1366691644
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 11, 2008 (17.906874921427 yrs)
- Last Updated
- Apr 20, 2021
- Licenses
-
11146 (MS)MD.07163R (LA)MD.07163R (LA)11146 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
554 SINGLEY RDCOLUMBIA, MS, 394299156Browse MS providers · Browse ZIP 39429
- Phone
- 6016000036
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- General Practice
- Additional Specialty
- General Practice
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.