Individual
MR. ALEXIS TEYRONN MCCULLOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PP
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 317-5000
Mailing address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 317-5000
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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