Individual
DR. SARAH BOUNDS MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3851 ROGER BROOKE DRIVE, MCHE-QD (CREDS), FORT SAM HOUSTON, TX 78234-6200
(717) 360-6033
Mailing address
3851 ROGER BROOKE DRIVE, MCHE-QD (CREDS), FORT SAM HOUSTON, TX 78234-6200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101252451
VA
208D00000X
General Practice Physician
0101252451
VA
208M00000X
Hospitalist Physician
Primary
2020-03941
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2011
Last updated
05/12/2021
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