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1336143619
RICHARD E MCCULLOUGH
TIFTON, GA
NPI
1336143619
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: GA 15483)
Enumeration Date
2005-06-02
Last Update Date
2020-12-01
Business Address
RICHARD E MCCULLOUGH MD
2225 US HWY 41 N
TIFTON, GA 31794
Phone number: 229-391-4100
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Mailing Address
RICHARD E MCCULLOUGH MD
2225 US HWY 41 N
TIFTON, GA 31794
Phone number: 229-391-4100
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