SearchMississippi363L00000X

Samuel Mccullough, FNP-C

NPI 1750923538 · on the registry since 2019 · sole proprietor

Practice

Address
102 Hazelton Cv
Gluckstadt, MS 39110
Phone
(601) 633-9017

Registry record

Primary taxonomy
363L00000X
363L00000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-03-15

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