Individual
MRS. ELIZABETH ANN MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
430 SARDIS RD, UNION, SC 29379-8715
(864) 251-4165
Mailing address
430 SARDIS RD, UNION, SC 29379-8715
(864) 251-4165
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5522
SC
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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