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MR. JAMES RAYMOND MCCULLOUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
2050 MICHIGAN AVE, MOBILE, AL 36615-1113
(251) 434-6770
Mailing address
8595 N LAMHATTY LN, DAPHNE, AL 36526-6481
(251) 744-9058

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
136894
AL

Other

Enumeration date
05/17/2011
Last updated
07/05/2022
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