Provider Demographics
NPI:1326612946
Name:MCCULLARS MEDICAL SERVICES LLC
Entity Type:Organization
Organization Name:MCCULLARS MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:MORRIS
Authorized Official - Last Name:MCCULLARS
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:251-342-1808
Mailing Address - Street 1:11035 CELESTE RD
Mailing Address - Street 2:
Mailing Address - City:SARALAND
Mailing Address - State:AL
Mailing Address - Zip Code:36571-9707
Mailing Address - Country:US
Mailing Address - Phone:251-342-1808
Mailing Address - Fax:251-342-1838
Practice Address - Street 1:1 TIMBER WAY STE 202
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36527-5634
Practice Address - Country:US
Practice Address - Phone:251-342-1808
Practice Address - Fax:251-342-1838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-18
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care