Cullison, James Wesley

Cullison, James Wesley is an individual health care provider with primary practice located at 150 Clinic Ave Suite 202, Carrollton GA 30117-4401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Cullison, James Wesley can be contacted via phone (770) 834-6988.

Contact Information

Primary practice address
150 Clinic Ave Suite 202 Carrollton GA 30117-4401
Phone: (770) 834-6988
Fax: (770) 834-1090
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 045057 Georgia

Profile Details

NPI number 1194787408
LBN Legal business name Cullison, James Wesley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated May 17th, 2024 - about 6 months 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 1194787408 NPPES
Georgia Other REF906223411 MEDICAID REFERENCE NUMBER
Georgia MEDICAID 875799007B MEDICAID REFERENCE NUMBER

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