SAMUEL SCOTT MCCULLOUGH

MADISON, MS
NPI1750923538
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MS  903614)
Enumeration Date2019-10-12
Last Update Date2019-10-12
Business Address
SAMUEL SCOTT MCCULLOUGH FNP-C
120 FOUNTAINS BLVD # 1000
MADISON, MS 39110-6343
Phone number: 763-300-0700
Mailing Address
SAMUEL SCOTT MCCULLOUGH FNP-C
144 HUBER ST
MADISON, MS 39110-6983
Phone number: 601-260-9830
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