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Contact Information

HENRY P MCCULLEY
740 TELL ST
STE 500
ATHENS, TN37303
 Phone: 423-744-7449
 Fax: 423-744-8574
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for HENRY P MCCULLEY · (Male)

NPI # 1295858330
Status Active
Credentials
Entity Individual
Enumeration date 04/06/2007
Last updated 05/20/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • TN License # DPM0000000431
  • TN Medicaid 3352085
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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