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E THOMAS CULLOM III MD PLLC NPI 1326294158


NPI Information

NPI: 1326294158
Provider Name: E THOMAS CULLOM III MD PLLC

Doing Business As: CULLOM, EDWARD

Classification: Neurological Surgery - 207T00000X
Entity Type: Organization
Address:
1029 RIVER OAKS DR
FLOWOOD, MS
ZIP 39232
Phone: (601) 664-1000
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E THOMAS CULLOM III MD PLLC is a neurological surgery in Flowood, MS. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. E THOMAS CULLOM III MD PLLC NPI is 1326294158. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cullom, Edward.

The provider's business location address is:

1029 RIVER OAKS DR
FLOWOOD, MS
ZIP 39232-554
Phone: (601) 664-1000
Fax: (601) 664-2777

The provider's authorized official is Edward Thomas Cullom .
The authorized official title is Manager and has the following contact phone number (601) 664-1000.

The enumeration date for this NPI number is 8/12/2008 and was last updated on 12/4/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207T00000XNeurological Surgery11803MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101409383MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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