Organization
MCCULLOH THERAPEUTIC SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL C DAVIS (BUSINESS MANAGER)
(864) 921-3793
Entity
Organization
Contact information
Practice address
2400 WINCHESTER PL, SUITE 102 A, SPARTANBURG, SC 29301-1518
(864) 576-7188
Mailing address
220 PARK GATE RD, GAFFNEY, SC 29341-5219
(864) 921-3793
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4313
—
SC
Enumeration date
01/19/2007
Last updated
05/16/2024
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