Provider Demographics
NPI:1760344782
Name:MCCULLOUGH, ANGELA HAMNER
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:HAMNER
Last Name:MCCULLOUGH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9232 WIRE RD
Mailing Address - Street 2:
Mailing Address - City:COTTONDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35453-3013
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9232 WIRE RD
Practice Address - Street 2:
Practice Address - City:COTTONDALE
Practice Address - State:AL
Practice Address - Zip Code:35453-3013
Practice Address - Country:US
Practice Address - Phone:205-887-1280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-28
Last Update Date:2025-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-183386163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice