Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GARY LEE MCCULLOCH SR., MD
Active Sole ProprietorGARY LEE MCCULLOCH SR., MD is a Family Medicine healthcare provider located in ECLECTIC, Alabama. NPI 1568410181 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · ECLECTIC, AL
Registration Details
- NPI Number
- 1568410181
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 5, 2006 (20.29303887691 yrs)
- Last Updated
- Dec 17, 2009
- License
-
12809 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
575 CLAUD RDECLECTIC, AL, 360246318Browse AL providers · Browse ZIP 36024
- Phone
- 3345413020
- Fax
- 3345413109
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.