Provider Demographics
NPI:1942423108
Name:CULLUM, EDWARD MERRITT (MD)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:MERRITT
Last Name:CULLUM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:833 SAINT VINCENTS DR STE 300
Mailing Address - Street 2:POB III
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1612
Mailing Address - Country:US
Mailing Address - Phone:205-939-4512
Mailing Address - Fax:205-939-4519
Practice Address - Street 1:833 SAINT VINCENTS DR STE 300
Practice Address - Street 2:POB III
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1612
Practice Address - Country:US
Practice Address - Phone:205-939-4512
Practice Address - Fax:205-939-4519
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2021-03-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL30065207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL149109Medicaid
AL51136699OtherBCBS OF ALABAMA
AL149109Medicaid