Mccullough, Deanna C

Mccullough, Deanna C is an sole proprietor health care provider with primary practice located at 653-1 W 8Th St 3Rd Floor, Lrc, Jacksonville FL 32209-6511. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Mccullough, Deanna C can be contacted via phone (904) 244-3112.

Contact Information

Primary practice address
653-1 W 8Th St 3Rd Floor, Lrc Jacksonville FL 32209-6511
Phone: (904) 244-3112
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME 125274 Florida

Profile Details

NPI number 1972708881
LBN Legal business name Mccullough, Deanna C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2007
Last updated Jul 3rd, 2016 - about 9 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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