Individual provider · NPI-1

Shelbra Cullum

Case Management · Aiken, SC

NPI number1649667478
StatusActive
Last updated in NPPESNov 17, 2023

Details

NPI
1649667478
Entity type
Individual (NPI-1)
Name
Shelbra Cullum
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 20, 2015
Certification date
Nov 17, 2023
Last updated
Nov 17, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management––Yes

Practice location

1911 Alan Ave
Aiken, SC 29801-9484

Phone 803-439-3077

Mailing address

1285 Marks Church Rd Ste A
Augusta, GA 30909-2472

Phone 706-310-8441 · Fax 706-230-4120

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