Individual
GEORGE DAVID MCCULLOUGH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1051 S HICKORY ST, STE A, MELBOURNE, FL 32901-1962
(321) 434-8878
(321) 434-8881
Mailing address
PO BOX 561600, HEALTH FIRST PHYSICIANS INC, ROCKLEDGE, FL 32956-1600
(321) 434-8878
(321) 434-8881
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 1918
FL
Other
Enumeration date
09/06/2005
Last updated
07/08/2007
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