Individual
MR. HEATH BYRON MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
183 HOSPITAL RD, SUITE B, WINCHESTER, TN 37398-2470
(931) 968-1232
(931) 968-9869
Mailing address
840 CRAWFORD LN, BELVIDERE, TN 37306-2152
(931) 967-8960
(931) 968-9869
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT299
TN
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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