MRS. Jill M. Mccullough
NPI #1184060162 in Iva, South Carolina
Provider Information
- NPI Number
- 1184060162
- Entity Type
- Individual
- Name
- MRS. Jill M. Mccullough
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- May 16, 2013
- Last Updated
- May 16, 2013
Practice Location
- Address
- 803 ANTREVILLE HWY
- City
- Iva
- State
- South Carolina
- ZIP Code
- 29655-9512
- Phone
- (863) 348-6400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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