Individual
SHIR'MEL CANDIS MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2117 GERVAIS ST, COLUMBIA, SC 29204-1805
(803) 744-0540
(803) 744-0542
Mailing address
PO BOX 3788, COLUMBIA, SC 29230-3788
(803) 733-5959
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
363LF0000X
Family Nurse Practitioner
Primary
28094
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/13/2023
Last updated
06/24/2026
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