Individual
DR. DANIEL GRANT MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1841 QUIET CV, FAYETTEVILLE, NC 28304-3985
(910) 323-2626
Mailing address
1841 QUIET CV, FAYETTEVILLE, NC 28304-3985
(910) 323-2626
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101239438
VA
208600000X
Surgery Physician
Primary
2023-02057
NC
208600000X
Surgery Physician
35.085882
OH
208600000X
Surgery Physician
C1-0008599
DE
208600000X
Surgery Physician
D0066111
MD
Other
Enumeration date
07/24/2006
Last updated
09/06/2025
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