Individual
DR. HENRY PAUL MCCULLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
740 TELL ST, STE 500, ATHENS, TN 37303
(423) 744-7449
(423) 744-8574
Mailing address
PO BOX 1406, ATHENS, TN 37371-1406
(423) 744-7449
(423) 744-8574
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DPM0000000431
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3352085
—
TN
Enumeration date
04/06/2007
Last updated
05/20/2008
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