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Contact Information

JONATHAN A MCCULLERS, MD
262 DANNY THOMAS PL
MEMPHIS, TN38105-3678
 Phone: 901-595-3006
 Fax: 901-595-3842
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JONATHAN A MCCULLERS · (Male)

NPI Number 1902809783
Status Active
Credentials MD
Entity Individual
Enumeration date 05/24/2005
Last updated 10/02/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 28217
  • AL Medicaid 009914410
  • AR Medicaid 137756001
  • IA Medicaid 0535716
  • LA Medicaid 1562645
  • ME Medicaid 422400000
  • MO Medicaid 205028509
  • MS Medicaid 00121412
  • OK Medicaid 100030710A
  • SC Medicaid Q28217
  • TN Medicaid 3898345
  • TX Medicaid 177291601
  • VA Medicaid 010195918
  • WY Medicaid 1145860 00
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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