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RICHARD E MCCULLOUGH MD, NPI 1336143619

Internal Medicine in TIFTON, GA

Last Updated on : Dec 01,2020

About RICHARD E MCCULLOUGH (NPI 1336143619)


RICHARD E MCCULLOUGH is an Internal Medicine provider in TIFTON, United States. His medical specialization is Internal Medicine .

1336143619 is NPI number of RICHARD E MCCULLOUGH.

RICHARD E MCCULLOUGH's primary taxonomy code based on NPI Lookup is 207R00000X with license number 15483. This taxonomy code refers to Internal Medicine.

RICHARD E MCCULLOUGH has more than 16 years of experience.

RICHARD E MCCULLOUGH current practice location address is 2225 US HWY 41 N, TIFTON, GA. RICHARD E MCCULLOUGH can be reached out via phone at 229-391-4100 .

You can also correspond with RICHARD E MCCULLOUGH through mail at mailing address 2225 US HWY 41 N, TIFTON, GA, United States. Mailing address contact number is 229-391-4100.

The enumeration date of RICHARD E MCCULLOUGH is 02-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 2 years ago.

1336143619 NPI Information

Name RICHARD E MCCULLOUGH
National Provider Id (NPI) 1336143619
Entity Type Individual
Gender M
Credential MD
Practice Address 2225 US HWY 41 N,
TIFTON, GA, United States
Practice Telephone 229-391-4100
Practice Fax Number
Mailing Address 2225 US HWY 41 N ,
TIFTON, GA, United States
Mailing Telephone 229-391-4100
Mailing Fax Number
Enumeration Date 02-Jun-2005
Last Updated Date 01-Dec-2020

RICHARD E MCCULLOUGH (NPI 1336143619) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 207R00000X Internal Medicine 15483 GA

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
00069748A MEDICAID (05) GA
11BDJQT MEDICARE ID-Type Unspecified (04) GA
D40602 MEDICARE UPIN (02) GA

RICHARD E MCCULLOUGH (NPI 1336143619) Office Location

Providers in same location

NPI Name Taxonomy Address Enumeration date
1629617147 TAYLOR BURRAGE Dietitian, Registered 2004 REDBIRD TRL,
DOUGLAS, GA, United States
01-Jan-2020
1750448783 PHYLLIS R CAZARES Psychologist, Clinical P.O. BOX 2707,
TIFTON, GA, United States
02-Jan-2007
1922344498 ALLEN PHARMACY GROUP, LLC Pharmacy, Community/Retail Pharmacy 602 LOVE AVE,
TIFTON, GA, United States
02-Jan-2013
1619516002 GEORGIA DENTAL ASSOCIATES, LLC Clinic/Center, Dental 315 14TH ST E,
TIFTON, GA, United States
02-Jan-2020
1063758597 MARK RAYMOND WESTRA Physical Therapist 1610 JOHN ORR DR,
TIFTON, GA, United States
03-Jan-2013
1962919696 SHYLYNSKI ZENTORRIE JOHNSON Social Worker 901 18TH ST E,
TIFTON, GA, United States
03-Jan-2018
1982365946 MIRANDA GAYLE SOMERS Physician Assistant 2225 US HIGHWAY 41 N,
TIFTON, GA, United States
03-Jan-2022
1982356028 LAURA LEIGH BEDEIR Nurse Practitioner, Family PO BOX 7469,
TIFTON, GA, United States
20-Jan-2022
1992241400 BHG XLV, LLC Clinic/Center, Mental Health (Including Community Mental Health Center) 2402 TIFT AVE N, SUITE 202
TIFTON, GA, United States
09-Jan-2017
1588137699 RAY ANTHONY CURTIS Non-emergency Medical Transport (VAN) 1007 LEE AVE,
TIFTON, GA, United States
10-Jan-2019
1306996103 KELLIE FLEMING SMITH Audiologist 3 HOSPITAL PARK,
MOULTRIE, GA, United States
12-Jan-2007
1609113562 AMY ELLIS JACKSON Pharmacist 620 VIRGINIA AVE N,
TIFTON, GA, United States
12-Jan-2013
1669838272 BRANDY JEAN FAIRCLOTH Nurse Practitioner, Family 2735 CENTRAL AVE S,
TIFTON, GA, United States
12-Jan-2016
1952723603 STACY BROWN Clinical Nurse Specialist, Occupational Health 901 18TH ST E,
TIFTON, GA, United States
15-Jan-2014
1811040629 ANTONIO GARCIA REMOLLINO Pediatrics, Neurodevelopmental Disabilities 1909 US HIGHWAY 82 W STE 3&4,
TIFTON, GA, United States
18-Jan-2007
1982234043 DELORIS LUNSFORD Licensed Practical Nurse 903 WASHINGTON ST.,
TIFTON, GA, United States
17-Jan-2020
1154788446 ANNA DRIGGERS Nurse Anesthetist, Certified Registered 901 18TH ST E,
TIFTON, GA, United States
18-Jan-2016
1992858161 MELANIE SUMNER ROYAL Speech-Language Pathologist, 1488 OLD OCILLA RD,
TIFTON, GA, United States
19-Jan-2007
1205989480 SHANNON K MCDANIEL Speech-Language Pathologist, 1488 OLD OCILLA RD,
TIFTON, GA, United States
19-Jan-2007
1649669003 JILL M BULLARD Nurse Practitioner, Family 2225 US HIGHWAY 41 N,
TIFTON, GA, United States
22-Jan-2015

FAQs

Whose NPI Number is 1336143619?

1336143619 is the NPI number of RICHARD E MCCULLOUGH.

What is the specialty for RICHARD E MCCULLOUGH?

The Specialty of RICHARD E MCCULLOUGH is Internal Medicine.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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