Culbertson, Gary Randall

Culbertson, Gary Randall is an sole proprietor health care provider with primary practice located at 18 Miller Rd , Sumter SC 29150-2403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Culbertson, Gary Randall can be contacted via phone (803) 773-6361.

Contact Information

Primary practice address
18 Miller Rd Sumter SC 29150-2403
Phone: (803) 773-6361
Fax: (803) 773-6009
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 17109 South Carolina

Profile Details

NPI number 1164409488
LBN Legal business name Culbertson, Gary Randall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2005
Last updated Nov 21st, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164409488 NPPES
South Carolina MEDICAID T11332

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