Individual
KATHERINE ANNMARIE AHERN MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
125 QUEENS RD STE 430, CHARLOTTE, NC 28204-3215
(980) 302-6300
(980) 302-6305
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
08/20/2019
Last updated
05/03/2022
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