Doctor Name: | JAMES ALBRIGHT MCCULLOUGH |
NPI Number: | 1003823352 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | D1730 |
Business Practice Address: | 121 N Cove Dr Peachtree City, GA - 302694212 |
Business Phone Number: | 6783641634 |
Business Fax Number: | |
Mailing Address: | 121 N Cove Dr, PEACHTREE CITY |
State: | GA |
Postal Code: | 302694212 |
Phone Number: | 6783641634 |
Fax Number: | |
NPI Enumeration Date: | 08/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | D1730 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |