Michael Allen McCullough, PHD, NP-BC, AP-RN

Family Nurse Practitioner · Fayetteville, GA

Individual Active NPI

NPI number 1316298870

Practice location

101 Yorktown Dr
Fayetteville, GA 30214-1578
Phone
(770) 460-4075

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NPI record

NPI
1316298870
Entity type
Individual (Type 1)
Enumeration date
September 25, 2012
Last updated
September 25, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Family Nurse Practitioner Primary 363LF0000X RN057553NP GA

About Dr. McCullough

Michael Allen McCullough, PHD, NP-BC, AP-RN is a healthcare provider registered in the NPI registry with the primary taxonomy Family Nurse Practitioner (code 363LF0000X). The practice location is 101 Yorktown Dr, Fayetteville, GA 30214-1578. The NPI number 1316298870 was assigned on September 25, 2012 and the record was last updated on September 25, 2012.

Dr. McCullough lists a license in the registry: #RN057553NP (GA) for Family Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Allen McCullough, PHD, NP-BC, AP-RN?

The NPI number is 1316298870.

What is the phone number of Dr. McCullough?

The phone number listed for the practice location is (770) 460-4075.

Where is Dr. McCullough located?

101 Yorktown Dr, Fayetteville, GA 30214-1578.

What is the taxonomy code for Dr. McCullough?

The primary taxonomy code is 363LF0000X – Family Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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