Cullom, Edward

LBN: E Thomas Cullom Iii Md Pllc
Cullom, Edward is an health care organization with primary practice located at 1029 River Oaks Dr , Flowood MS 39232-9554. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as the primary health care specialty. E Thomas Cullom Iii Md Pllc can be contacted via phone (601) 664-1000, or through Cullom, Edward Thomas 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:
Map and Directions
Authorized official contact:
Name: Cullom, Edward Thomas Doctor of Medicine (MD)
Phone: (601) 664-1000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 11803 Mississippi

Profile Details

NPI number 1326294158
LBN Legal business name E Thomas Cullom Iii Md Pllc
DBA Doing business as Cullom, Edward
Authorized official Cullom, Edward Thomas Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2008
Last updated Dec 4th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326294158 NPPES
Mississippi MEDICAID 01409383

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