Individual
CHRISTOPHER LEONARD CULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4622 COUNTRY CLUB ROAD, SUITE 180, WINSTON-SALEM, NC 27023-3770
(336) 768-9510
(336) 768-4155
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 768-9510
(336) 768-4155
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103539
NC
363AS0400X
Surgical Physician Assistant
103539
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8102525
—
NC
Enumeration date
10/23/2006
Last updated
03/30/2023
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