Individual
GINGER T. MCCULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
403 FAIRVIEW ST, CLINTON, NC 28328-2399
(910) 592-6011
(910) 592-0811
Mailing address
403 FAIRVIEW ST, CLINTON, NC 28328-2399
(109) 592-6011
(109) 592-0811
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
300273
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00357832
—
NC
Enumeration date
06/22/2006
Last updated
05/20/2020
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