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Individual

CATHLEEN A SCULLY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
2160 FOUNTAIN DR, SOUTHEASTERN GERIATRIC HEALTHCARE GROUP, SNELLVILLE, GA 30078-2914
(770) 982-2336
(770) 972-0805
Mailing address
2160 FOUNTAIN DR, SOUTHEASTERN GERIATRIC HEALTHCARE GROUP, SNELLVILLE, GA 30078-2914
(770) 982-2336
(770) 972-0805

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN152213
GA

Other

Enumeration date
01/18/2006
Last updated
07/08/2007
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