Individual
MELISA MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 FALCONS XING, COVINGTON, GA 30016-8164
(470) 219-9843
Mailing address
15 FALCONS XING, COVINGTON, GA 30016-8164
(470) 219-9843
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
M6T7R6D3
GA
Other
Enumeration date
04/18/2026
Last updated
04/18/2026
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