Individual
DR. GARY RANDALL CULBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18 MILLER RD, SUMTER, SC 29150-2403
(803) 773-6361
(803) 773-6009
Mailing address
18 MILLER RD, SUMTER, SC 29150-2403
(803) 773-6361
(803) 773-6009
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
17109
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T11332
—
SC
Enumeration date
12/28/2005
Last updated
11/21/2007
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