Individual provider · Type 1 NPI

Staci Haggerty McCullohs, PA-C

Surgical Physician Assistant · Atlanta, GA

NPI number 1629294947 Active

Practice location

975 Johnson Ferry Rd NE, Suite 100
Atlanta, GA 30342

Call (404) 256-2157 Map

Fax (404) 303-9798

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X005021 (GA)
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1629294947

Staci Haggerty McCullohs, PA-C's National Provider Identifier is 1629294947, issued on Apr 17, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Atlanta, GA. The record was last updated on Nov 14, 2016.