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Individual

VINCENT S CULPEPPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1329 N 5TH STREET EXT, CORDELE, GA 31015-3753
(229) 276-2286
(229) 276-2289
Mailing address
307 E 3RD AVE, CORDELE, GA 31015-3208
(229) 271-4656
(229) 276-4654

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
046072
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000978667A
GA
05
000978667B
GA
05
000978667C
GA
Enumeration date
02/08/2006
Last updated
01/25/2021
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