Individual
DR. BOBBY KENNETH MCCULLEN JR.
Active
Individual
DR. BOBBY KENNETH MCCULLEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
38135
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11679
PARTNERS MEDICARE CHOICE
NC
01
—
45612
MEDCOST
NC
01
—
56862
BLUE CROSS OF NC
NC
05
—
8956862
—
NC
Enumeration date
05/24/2005
Last updated
03/12/2008
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