Organization
JAMES M. MCCULLOUGH
Active
Other names
James M. McCullough, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES M MCCULLOUGH MD (OWNER)
(504) 455-2333
Entity
Organization
Contact information
Practice address
4228 HOUMA BLVD, SUITE 140, METAIRIE, LA 70006-3000
(504) 455-2333
(504) 885-8988
Mailing address
PO BOX 7608, METAIRIE, LA 70010-7608
(504) 455-2333
(504) 885-8988
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
490546535B
BLUE CROSS BLUE SHIELD
LA
Enumeration date
06/03/2008
Last updated
06/03/2008
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