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Michael Allen Mccullough, PHD,NP-BC,AP-RN
Family Nurse Practitioner in Fayetteville, Georgia
NPI 1316298870

Michael Allen Mccullough is a Family Nurse Practitioner based in Fayetteville, GA and is specialized in Family. Michael Allen Mccullough practices in Fayetteville, GA and has the professional credentials of PHD,NP-BC,AP-RN. The NPI Number for Michael Allen Mccullough is 1316298870 and holds a License No. RN057553NP (Georgia).

The current practice location address for Michael Allen Mccullough is 101 Yorktown Dr, Fayetteville, GA and can be reached out via phone at 770-460-4075.

Location: 101 Yorktown Dr, Fayetteville, GA, 30214-1578
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316298870
Provider Name
Michael Allen Mccullough
Credential
PHD,NP-BC,AP-RN
Provider Entity Type
Individual
Gender
Male
Address
101 Yorktown Dr, Fayetteville, GA, 30214-1578
Phone Number
770-460-4075
Fax Number
Provider Enumeration Date
09/25/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
101 Yorktown Dr
City
Fayetteville
State
Georgia
Zip
30214-1578
Phone Number
770-460-4075
Fax Number
person
Provider Business Mailing Address Details
Address
101 Yorktown Dr
City
Fayetteville
State
Georgia
Zip
30214-1578
Phone Number
770-460-4075
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN057553NP (Georgia)
Definition
Definition to come...
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