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Brian Mccullough

NPI 1417629817 · on the registry since 2021 · sole proprietor

Practice

Address
706 Belle Oak Trl
Brandon, MS 39042
Phone
(166) 254-9795

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-10-04

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 Mississippi