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NPI Code Detail

MEDICARE: MCCULLARS MEDICAL SERVICES LLC

MEDICARE: MCCULLARS MEDICAL SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1326612946
Entity Type Code : Organization
Provider Name (Legal Business Name) : MCCULLARS MEDICAL SERVICES LLC
Provider Business Mailing Address
First Line : 11035 CELESTE RD
Second Line :
City : SARALAND
State : AL
Zip : 36571-9707
Country : US
Telephone Number : 251-342-1808
Fax Number : 251-342-1838
Provider Business Practice Location Address
First Line : 1 TIMBER WAY STE 202
Second Line :
City : DAPHNE
State : AL
Zip : 36527-5634
Country : US
Telephone Number : 251-342-1808
Fax Number : 251-342-1838
Authorized Official
Title or Position : OWNER
Name : DR. GEORGE MORRIS MCCULLARS
Credential : M.D., PH.D.
Telephone Number : 251-342-1808
Provider Enumeration Date : 05/18/2021
Last Update Date : 03/07/2024

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Directions to “MCCULLARS MEDICAL SERVICES LLC ” Practice Location

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