Samuel Scott Mccullough III, FNP-C
NPI #1750923538 in Madison, Mississippi
Provider Information
- NPI Number
- 1750923538
- Entity Type
- Individual
- Name
- Samuel Scott Mccullough III, FNP-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner
- Credential
- FNP-C
- Enumeration Date
- Oct 12, 2019
- Last Updated
- Oct 12, 2019
Practice Location
- Address
- 120 FOUNTAINS BLVD # 1000
- City
- Madison
- State
- Mississippi
- ZIP Code
- 39110-6343
- Phone
- (763) 300-0700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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