Individual provider · Type 1 NPI
Stephen Marc Wascomb, MD
General Practice Physician · Columbia, MS
NPI number
1366691644
Active
Practice location
554 Singley Rd
Columbia, MS 39429-9156
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 11146 (MS) |
| Family Medicine Physician | 207Q00000X | MD.07163R (LA) |
| General Practice Physician | 208D00000X | MD.07163R (LA) |
| General Practice Physician Primary | 208D00000X | 11146 (MS) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1366691644
Stephen Marc Wascomb, MD's National Provider Identifier is 1366691644, issued on Sep 11, 2008. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Columbia, MS. The record was last updated on Apr 20, 2021.