Individual provider · Type 1 NPI
Alexandra Elizabeth Cullom, MD
Student in an Organized Health Care Education/Training Program · Flora, MS
NPI number
1831933167
Active
Practice location
173 Anderson Station Rd
Flora, MS 39071-9351
Mailing address
2500 N State St
Jackson, MS 39216-4500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1831933167
Alexandra Elizabeth Cullom, MD's National Provider Identifier is 1831933167, issued on Jun 21, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Flora, MS. The record was last updated on Jun 21, 2024.