Alexandra Elizabeth Cullom, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Flora, MS
NPI 1831933167 · NPPES record last updated Jun 21, 2024
Key facts
- NPI
- 1831933167
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 173 Anderson Station Rd
Flora, MS 39071-9351 - Phone
- (601) 955-8753
- NPI assigned
- Jun 21, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
173 Anderson Station Rd
Flora, MS 39071-9351
Mailing address
2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-5012
Other providers in Flora, MS
- Laura Franklin Asbill
- Debra Baker
- Dominique Bell-Miller
- Care Oxygen & Home Medical, LLC
- Joseph Crosby
- Dental Care of Flora, PLLC
- Family First Behavioral Health
- Flora Drugs, Inc.
- Flora Family Physicians
- Flora Pharmacy LLC
All providers in Flora, MS · Student in an Organized Health Care Education/Training Program in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.