Mccullough, George David
Mccullough, George David is an individual health care provider with primary practice located at 1051 S Hickory St Ste A, Melbourne FL 32901-1962. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Mccullough, George David can be contacted via phone (321) 434-8878.Contact Information
Primary practice address
1051 S Hickory St Ste A
Melbourne FL 32901-1962
Phone: (321) 434-8878
Fax: (321) 434-8881
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA 1918 | Florida |
Profile Details
| NPI number | 1184618233 |
|---|---|
| LBN Legal business name | Mccullough, George David |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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