Individual
HEATHER DAWN MCCULLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
175 PATEWOOD DR, GREENVILLE, SC 29615-3570
(864) 797-1000
Mailing address
434 CHRISTIANE WAY, GREENVILLE, SC 29607-5568
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28457
SC
363LP2300X
Primary Care Nurse Practitioner
28457
SC
Other
Enumeration date
03/14/2026
Last updated
03/14/2026
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