NPI 1043091762
Lisa McCullough
Practice location
- Address
- 517 Main St NE APT 2355, Atlanta, GA 30324-6226
- Phone
- (770) 296-9427
Registered specialties
Homemaker
Primary
Registry record
- NPI
- 1043091762
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Oct 2023
- Record last updated
- 9 Oct 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.