Individual
CATHERINE MCCULLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
590 HERTY DR, STATESBORO, GA 30460-0001
(912) 478-5302
Mailing address
590 HERTY DR, STATESBORO, GA 30460-0001
(912) 478-5302
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
AT002507
GA
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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