DR. Prentice Michael Mccullough, M.D.

NPI #1619950904 in Carrollton, Georgia

Provider Information

NPI Number: 1619950904
Entity Type: Individual
Name: DR. Prentice Michael Mccullough, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Anesthesiology
Credential: M.D.
Enumeration Date: Nov 21, 2005
Last Updated: Jun 16, 2010

Practice Location

Address: 705 DIXIE ST
City: Carrollton
State: Georgia
ZIP Code: 30117-3818
Phone: (770) 812-5730

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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