Individual
SARAH DAVIS MCCULLOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSP
Contact information
Practice address
2500 WINCHESTER PL, SUITE 100, SPARTANBURG, SC 29301-1550
(864) 574-7282
(864) 574-7664
Mailing address
434 GLEN CREST DR, MOORE, SC 29369-9287
(864) 486-8706
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3818
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3818
LICENSE NUMBER
SC
Enumeration date
10/12/2006
Last updated
07/08/2007
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