Individual
SYDNEY LEIGH MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-4951
Mailing address
445 LONGMEADOW DR, GROVETOWN, GA 30813-0410
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13405
GA
Other
Enumeration date
07/11/2024
Last updated
11/04/2025
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