# JOHN L CULLETON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1619917309
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 15905 | SC | Yes |

## Other

- **Enumeration date:** 06/08/2006
- **Last updated:** 01/02/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 145301848 | GROUP NPI | SC |
| 01 | — | 7153 | MEDICARE GROUP ID | SC |
| 05 | — | 890540V | — | NC |
| 01 | — | CG3543 | MEDICARE RR GRUOP | SC |
| 01 | — | P00695482 | MEDICARE RR | SC |
| 05 | — | TL9504 | — | SC |