AMANDA MCCULLOUGH

JACKSON, MS
NPI1396144549
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: MS  R885221)
Enumeration Date2014-08-13
Last Update Date2014-12-12
Business Address
-- AMANDA MCCULLOUGH NP-C
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-6525
Mailing Address
-- AMANDA MCCULLOUGH NP-C
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-6525
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