Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stanley McCollough Jr., ATC, LAT, MHSA

Individual provider Athletic Trainer · NPI 1497872253

Stanley McCollough Jr., ATC, LAT, MHSA is an Athletic Trainer in Jackson, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2007
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

1325 E Fortification St
Jackson, MS 39202-2442
Phone: (601) 354-4488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (MS)

Record details

NPI number1497872253
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LAT , MHSA
Sole proprietorYes
NPI enumeratedMarch 24, 2007
Last updated in NPPESJuly 8, 2007

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