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THOMAS HARVEY MCCULLOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
16430 SCENIC HIGHWAY 98, FAIRHOPE, AL 36532-7136
(251) 850-5053
(251) 621-6467
Mailing address
405 N SECTION ST, FAIRHOPE, AL 36532-2613
(251) 990-8860
(251) 990-3401

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9298
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000015807
AL
01
1750383790
NPI
AL
01
51540979
BCBS
AL
05
9910667
AL
01
P00457381
RAILROAD MCARE
AL
Enumeration date
08/10/2005
Last updated
03/04/2026
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