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1316298870
MICHAEL ALLEN MCCULLOUGH
FAYETTEVILLE, GA
NPI
1316298870
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: GA RN057553NP)
Enumeration Date
2012-09-25
Last Update Date
2012-09-25
Business Address
MICHAEL ALLEN MCCULLOUGH PHD, NP-BC, AP-RN
101 YORKTOWN DR
FAYETTEVILLE, GA 30214-1578
Phone number: 770-460-4075
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Mailing Address
MICHAEL ALLEN MCCULLOUGH PHD, NP-BC, AP-RN
101 YORKTOWN DR
FAYETTEVILLE, GA 30214-1578
Phone number: 770-460-4075
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