Individual
CHRISTOPHER S. MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
541 SUNSET LN, 103, CULPEPER, VA 22701-3979
(540) 825-2600
(540) 825-4026
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
21536
WV
208600000X
Surgery Physician
0101049764
VA
208600000X
Surgery Physician
MD434540
PA
2086S0102X
Surgical Critical Care Physician
Primary
0101049764
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0125796000
—
WV
01
—
1952496382
ANTHEM BCBS
VA
05
—
1952496382
—
VA
Enumeration date
10/03/2006
Last updated
08/10/2023
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