Individual
DR. IAN LAWRENCE MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1364 CLIFTON RD NE, DEPARTMENT OF ANESTHESIOLOGY, ATLANTA, GA 30322-1190
(757) 639-2458
Mailing address
1364 CLIFTON RD NE, DEPARTMENT OF ANESTHESIOLOGY, ATLANTA, GA 30322-1190
(757) 639-2458
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
84494
GA
Other
Enumeration date
04/01/2016
Last updated
05/08/2020
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