| NPI | 1326294158 |
|---|---|
| Doing Business As | CULLOM, EDWARD |
| Entity Type | Organization |
| Authorized Contact | EDWARD THOMAS CULLOM Manager 601-664-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MS 11803) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2019-12-04 |