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)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