Individual
DEREK CULNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1225 N STATE ST, JACKSON, MS 39202-2064
(833) 672-8767
Mailing address
PO BOX 2204, MADISON, MS 39130-2204
(833) 672-8767
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
24649
MS
208600000X
Surgery Physician
24649
MS
2086S0102X
Surgical Critical Care Physician
24649
MS
Other
Enumeration date
05/15/2007
Last updated
11/29/2022
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