Individual
TIMOTHY CASEY MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10730 MEDLOCK BRIDGE RD STE 110, JOHNS CREEK, GA 30097
(860) 886-1956
Mailing address
1551 JANMAR RD, SNELLVILLE, GA 30078-5606
(678) 344-8900
(678) 691-0506
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
78199
GA
Other
Enumeration date
05/09/2007
Last updated
05/04/2024
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