Individual
CORINNE MCCULLION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1475 JESSE JEWELL PKWY NE STE 300, GAINESVILLE, GA 30501-3806
(678) 430-3110
Mailing address
1475 JESSE JEWELL PKWY NE STE 300, GAINESVILLE, GA 30501-3806
(678) 430-3110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10457
GA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/03/2019
Last updated
10/12/2021
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