Individual
WHITNEY MARIE MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6220 MANATEE AVE W STE 201, BRADENTON, FL 34209-2361
(941) 792-4151
Mailing address
6220 MANATEE AVE W STE 201, BRADENTON, FL 34209-2361
(417) 924-1519
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
MI
363AM0700X
Medical Physician Assistant
Primary
PA9114546
FL
Other
Enumeration date
12/21/2019
Last updated
09/22/2022
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