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Individual

JOHN L CULLETON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
360 N IRBY ST, FLORENCE, SC 29501
(843) 667-9414
(843) 667-1362
Mailing address
360 N IRBY ST, FLORENCE, SC 29501-2808
(843) 667-9414
(843) 667-1362

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
15905
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
145301848
GROUP NPI
SC
01
7153
MEDICARE GROUP ID
SC
05
890540V
NC
01
CG3543
MEDICARE RR GRUOP
SC
01
P00695482
MEDICARE RR
SC
05
TL9504
SC
Enumeration date
06/08/2006
Last updated
01/02/2019
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