Healthcare Provider Details

I. General information

NPI: 1023156734
Provider Name (Legal Business Name): JEFFREY ALAN CULP M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 CRESTVIEW PARK DR STE 205
DICKSON TN
37055-2856
US

IV. Provider business mailing address

127 CRESTVIEW PARK DR STE 209
DICKSON TN
37055-2856
US

V. Phone/Fax

Practice location:
  • Phone: 615-441-4500
  • Fax: 615-908-1237
Mailing address:
  • Phone: 615-446-5121
  • Fax: 615-446-1357

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number53246
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: