Individual
FRANKLIN PAUL MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
BON HOMME ST BLDG 2480, JACKSONVILLE, FL 32228
(484) 678-8463
Mailing address
BON HOMME ST BLDG 2480, JACKSONVILLE, FL 32228
(484) 678-8463
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/18/2015
Last updated
05/22/2020
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