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1982197570
ALISHIA MARY MCCOULLOUGH
AUGUSTA, GA
NPI
1982197570
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN266834)
Enumeration Date
2018-06-08
Last Update Date
2018-07-11
Business Address
ALISHIA MARY MCCOULLOUGH FNP-C, FNP-BC
1350 WALTON WAY
AUGUSTA, GA 30901
Phone number: 706-722-9011
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Mailing Address
ALISHIA MARY MCCOULLOUGH FNP-C, FNP-BC
PO BOX 1705
AUGUSTA, GA 30903-1705
Phone number: 706-774-7263
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