Mccullough, Prentice Michael
Mccullough, Prentice Michael is an individual health care provider with primary practice located at 705 Dixie St , Carrollton GA 30117-3818. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Mccullough, Prentice Michael can be contacted via phone (770) 812-5730.Contact Information
Primary practice address
705 Dixie St
Carrollton GA 30117-3818
Phone: (770) 812-5730
Fax: (770) 838-8563
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ME90751 | Florida |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 58806 | Georgia |
Profile Details
| NPI number | 1619950904 |
|---|---|
| LBN Legal business name | Mccullough, Prentice Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2005 |
| Last updated | Jun 16th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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