Male or Other

George D. Mccullough PA

Medical Physician Assistant in Melbourne, FL(View on Map)

Full Name

George David Mccullough PA

NPI Number

1184618233

NPI Type

Individual Provider

Gender

Male

Enumeration Date

09/06/2005

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA 1918

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 561600
1051 S HICKORY ST

City

Rockledge
Melbourne

State

FL
FL

Postal Code

32956-1600
32901-1962

Country

US
US

Telephone Number

(321) 434-8878
(321) 434-8878

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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