Search › South Carolina › 164W00000X
Jill Mccullough
NPI 1184060162 · on the registry since 2013
Practice
- Address
- 803 Antreville Hwy
Iva, SC 29655 - Phone
- (863) 348-6400
- Fax
- (864) 348-7071
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-05-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina