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Daniel G. Mccullough

Surgery

Allopathic & Osteopathic Physicians

1841 Quiet Cv, Fayetteville, NC 28304-3985

PECOS Enrollment

This provider is enrolled in PECOS as DANIEL MCCULLOUGH.

Based on the most recent information from CMS, provider Daniel G. Mccullough is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:47 AM.

Profile Details

Provider ID
1447272877
Provider Type
Individual
Full Name
Mccullough, Daniel G.
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
7/24/2006
Last Updated
7/22/2023

Contact Information

Practice Location

1841 Quiet Cv, Fayetteville, NC 28304-3985

(910) 323-2626

Unlisted Fax

Mailing Location

1841 Quiet Cv, Fayetteville, NC 28304-3985

(910) 323-2626

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208600000X Primary	Description Surgery Allopathic & Osteopathic Physicians	License 2023-02057 North Carolina
Code 208600000X	Description Surgery Allopathic & Osteopathic Physicians	License C1-0008599 Delaware
Code 208600000X	Description Surgery Allopathic & Osteopathic Physicians	License D0066111 Maryland
Code 208600000X	Description Surgery Allopathic & Osteopathic Physicians	License 0101239438 Virginia
Code 208600000X	Description Surgery Allopathic & Osteopathic Physicians	License 35.085882 Ohio

Daniel G. Mccullough

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

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