Cullom, Edward Thomas
Cullom, Edward Thomas is an individual health care provider with primary practice located at 1029 River Oaks Dr , Flowood MS 39232-9554. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Cullom, Edward Thomas can be contacted via phone (601) 664-1000.Contact Information
Primary practice address
1029 River Oaks Dr
Flowood MS 39232-9554
Phone: (601) 664-1000
Fax: (601) 664-2777
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 11803 | Mississippi |
Profile Details
| NPI number | 1710997135 |
|---|---|
| LBN Legal business name | Cullom, Edward Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Oct 27th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710997135 | NPPES |
| Mississippi | MEDICAID | 05883835 | |
| Mississippi | MEDICAID | 01409383 |
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