Search › South Carolina › 363A00000X
Kevin Mccullough, PA-C
NPI 1285147793 · on the registry since 2017
Practice
- Address
- 601 S Sutton Rd
Ste 101
Fort Nill, SC 29715 - Phone
- (803) 328-6306
- Fax
- (803) 909-6451
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- NC, SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-10-20
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