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Individual

MRS. BRANDY D MCCULLOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
207 N 6TH ST, OPELIKA, AL 36801-4229
(334) 737-6880
(334) 737-6881
Mailing address
207 N 6TH ST, OPELIKA, AL 36801-4229
(334) 737-6880
(334) 737-6881

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-080202
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
515-31508
BLUE CROSS OF AL PROV #
AL
01
559400210
ALABAMA MEDICAID GROUP #
AL
05
891010412
AL
Enumeration date
04/24/2006
Last updated
05/13/2026
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