Individual
MARY-MARGARET ILES CULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1060
(404) 785-6400
Mailing address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1060
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN266976
GA
363L00000X
Nurse Practitioner
Primary
RN266976
GA
Other
Enumeration date
04/01/2019
Last updated
04/14/2025
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