Michael Burks Mccullough, OD

NPI #1639656523 in Tupelo, Mississippi

Provider Information

NPI Number: 1639656523
Entity Type: Individual
Name: Michael Burks Mccullough, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jul 24, 2018
Last Updated: Jul 24, 2018

Practice Location

Address: 3929 N GLOSTER ST
City: Tupelo
State: Mississippi
ZIP Code: 38804-0915
Phone: (662) 840-4624

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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