Individual
EDWARD THOMAS CULLOM III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1029 RIVER OAKS DR, FLOWOOD, MS 39232-9554
(601) 664-1000
(601) 664-2777
Mailing address
1029 RIVER OAKS DR, FLOWOOD, MS 39232-9554
(601) 664-1000
(601) 664-2777
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
11803
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01409383
—
MS
05
—
05883835
—
MS
Enumeration date
08/08/2006
Last updated
10/27/2023
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