Individual
EMILY CLOE MCCULLOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1405 CLIFTON RD NE, ATLANTA, GA 30322-2309
(404) 785-5437
Mailing address
2381 BRADCLIFF CT NE, ATLANTA, GA 30345-2611
(404) 433-6256
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN254901
GA
363L00000X
Nurse Practitioner
Primary
RN254901
GA
Other
Enumeration date
10/30/2020
Last updated
04/05/2023
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