Darryl McCullough
Driver · Jackson, MS
Practice location
5842 N Dale StJackson, MS 39211-3331
- Phone
- (601) 906-0520
NPI record
- NPI
- 1043776925
- Entity type
- Individual (Type 1)
- Enumeration date
- February 15, 2019
- Last updated
- February 15, 2019
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Driver Primary | 172A00000X |
800490647 | MS |
About Darryl McCullough
Darryl McCullough is a healthcare provider registered in the NPI registry with the primary taxonomy Driver (code 172A00000X). The practice location is 5842 N Dale St, Jackson, MS 39211-3331. The NPI number 1043776925 was assigned on February 15, 2019 and the record was last updated on February 15, 2019.
Darryl McCullough lists a license in the registry: #800490647 (MS) for Driver. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Darryl McCullough?
The NPI number is 1043776925.
What is the phone number of Darryl McCullough?
The phone number listed for the practice location is (601) 906-0520.
Where is Darryl McCullough located?
5842 N Dale St, Jackson, MS 39211-3331.
What is the taxonomy code for Darryl McCullough?
The primary taxonomy code is 172A00000X – Driver.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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