person
Darryl Mccullough
Driver in Jackson, Mississippi
NPI 1043776925

Darryl Mccullough is a Driver based in Jackson, MS. Darryl Mccullough practices in Jackson, MS. The NPI Number for Darryl Mccullough is 1043776925 and holds a License No. 800490647 (Mississippi).

The current practice location address for Darryl Mccullough is 5842 N Dale St, Jackson, MS and can be reached out via phone at 601-906-0520.

Location: 5842 N Dale St, Jackson, MS, 39211-3331
person
Provider Profile Details
NPI Number
1043776925
Provider Name
Darryl Mccullough
Credential
Provider Entity Type
Individual
Gender
Male
Address
5842 N Dale St, Jackson, MS, 39211-3331
Phone Number
601-906-0520
Fax Number
Provider Enumeration Date
02/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5842 N Dale St
City
State
Zip
39211-3331
Phone Number
601-906-0520
Fax Number
person
Provider Business Mailing Address Details
Address
5842 N Dale St
City
State
Zip
39211-3331
Phone Number
601-906-0520
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
800490647 (Mississippi)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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