Individual
MISS DARLENE MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2575 JOLLY RD, COLLEGE PARK, GA 30349-3165
(404) 767-8886
Mailing address
3770 OLD OAK CT, POWDER SPRINGS, GA 30127-2386
(404) 432-2873
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
159554
GA
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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