Mccullough, Madison Gayle

Mccullough, Madison Gayle is an sole proprietor health care provider with primary practice located at 100 Netherland Ln , Kingsport TN 37660-7245. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Mccullough, Madison Gayle can be contacted via phone (423) 245-0360.

Contact Information

Primary practice address
100 Netherland Ln Kingsport TN 37660-7245
Phone: (423) 245-0360
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1740819366
LBN Legal business name Mccullough, Madison Gayle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2020
Last updated Apr 6th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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