Individual
DAVID GARRET MCCULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
303 MEDICAL CENTER DR, BATESVILLE, MS 38606-8608
(662) 563-0155
Mailing address
PO BOX 2819, OXFORD, MS 38655-6600
(662) 550-4299
(662) 580-4324
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
C01579
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
R876450
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02537897
—
MS
Enumeration date
02/03/2006
Last updated
05/26/2017
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