person
Mrs. Mildred Fleming Mccully, CPNP
Pediatric Nurse Practitioner in Gaffney, South Carolina
NPI 1841345915

Mildred Fleming Mccully is a Pediatric Nurse Practitioner based in Atlanta, SC and is specialized in Pediatrics. Mildred Fleming Mccully practices in Gaffney, SC and has the professional credentials of CPNP. The NPI Number for Mildred Fleming Mccully is 1841345915 and holds a License No. 300071 (South Carolina).

The current practice location address for Mildred Fleming Mccully is 103 Stuard St, Gaffney, SC and can be reached out via phone at 864-514-1080 and via fax at 864-560-1090. You can also correspond with Mildred Fleming Mccully through the mailing address at PO BOX 277723, ATLANTA, GA - 30384-7723 (mailing address contact number: 864-560-6000).

Location: 103 Stuard St, Gaffney, SC, 30384-7723
person
Provider Profile Details
NPI Number
1841345915
Provider Name
Mildred Fleming Mccully
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
103 Stuard St, Gaffney, SC, 30384-7723
Phone Number
864-514-1080
Fax Number
864-560-1090
Provider Enumeration Date
01/25/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SCC6125019 01 SC MEDICARE PIN
SCC6123365 01 SC MEDICARE PIN
NP3570 05 SC
SCC612J577 01 SC MEDICARE PIN
SCC612H895 01 SC MEDICARE PIN
institution
Provider Business Practice Location Address Details
Address
103 Stuard St
City
State
Zip
29341-1263
Phone Number
864-514-1080
Fax Number
864-560-1090
person
Provider Business Mailing Address Details
Address
103 Stuard St
City
State
Zip
29341-1263
Phone Number
864-514-1080
Fax Number
864-560-1090
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
300071 (North Carolina)
Definition
Definition to come...
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