DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STANLEY MCCOLLOUGH JR., ATC, LAT, MHSA

Active Sole Proprietor

STANLEY MCCOLLOUGH JR., ATC, LAT, MHSA is a Athletic Trainer healthcare provider located in JACKSON, Mississippi. NPI 1497872253 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · JACKSON, MS

Registration Details

NPI Number
1497872253
Provider Type
Individual
Gender
Male
NPI Issued
Mar 24, 2007 (19.350058598065 yrs)
Last Updated
Jul 8, 2007
Sole Proprietor
Yes

Practice Information

Address
1325 E FORTIFICATION ST
JACKSON, MS, 392022442
Browse MS providers · Browse ZIP 39202
Phone
6013544488
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in JACKSON, MS

Name Credential NPI
MICHAEL M WILKINSON ATC 1689655177
MS. DANA LYNN HALE ATC 1821018912
MR. RICHEY E. WOODS ATC 1881602167
MR. FREDRICK L. ROBINSON ATC, LAT, MS 1972620375
ERIC HAVER ATC, LAT, MHSA 1215054077
MISS KELLY MAUREEN MELTON ATC, LAT 1558567230
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.