Individual
DR. JENNIFER DAWN MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5398 THOMASTON RD, MACON, GA 31220-8110
(478) 476-8868
Mailing address
5398 THOMASTON RD, MACON, GA 31220-8110
(478) 476-8868
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
075758
GA
Other
Enumeration date
12/15/2008
Last updated
05/10/2017
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