Individual
BRANDON SCOTT MCCULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2301 S LAMAR BLVD, OXFORD, MS 38655-5373
(662) 232-8100
Mailing address
7007 BLUFF LN, OXFORD, MS 38655-5968
(662) 816-7871
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R883357
MS
Other
Enumeration date
12/08/2009
Last updated
05/10/2013
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