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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. PRENTICE MICHAEL MCCULLOUGH, M.D.

Active

DR. PRENTICE MICHAEL MCCULLOUGH, M.D. is a Anesthesiology healthcare provider located in CARROLLTON, Georgia. NPI 1619950904 is currently active in the NPPES registry. Verify at CMS.

Anesthesiology · CARROLLTON, GA

Registration Details

NPI Number
1619950904
Provider Type
Individual
Gender
Male
NPI Issued
Nov 21, 2005 (20.767055182211 yrs)
Last Updated
Jun 16, 2010
Licenses
ME90751 (FL)
58806 (GA)

Practice Information

Address
705 DIXIE ST
CARROLLTON, GA, 301173818
Browse GA providers · Browse ZIP 30117
Phone
7708125730
Fax
7708388563
Primary Specialty
Anesthesiology
207L00000X
Additional Specialty
Anesthesiology

Other Anesthesiology Providers in CARROLLTON, GA

Name Credential NPI
DR. TUNICIA GIRON MD 1134183775
DR. ODESSA KIRSTEN SPRAGGINS MD 1023072675
DR. MICHAEL HAMNER DO 1033173109
DR. JOHN H HARRISON MD 1184688277
RICHARD DAVIS M. D. 1225142052
SANJEEV KAPURIA MD 1912088337
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.