Mrs Michelle Dawn Mccullough, is a
Massage Therapist based in Madison, Georgia. Mrs Michelle Dawn Mccullough is licensed to practice in Georgia (license number MT004569) and her current practice location is
131 W Jefferson St, Madison, Georgia. She can be reached at her office (for appointments etc.) via phone at
(706) 342-2242.
NPI number for Mrs Michelle Dawn Mccullough is 1073821609 and her current mailing address is 1321 Prospect Rd, Madison, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073821609.
Healthcare Provider's Profile
Full Name | Mrs Michelle Dawn Mccullough |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 131 W Jefferson St, Madison, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073821609
- Provider Enumeration Date: 09/16/2010
- Last Update Date: 09/16/2010
Medical Identifiers
Medical identifiers for Mrs Michelle Dawn Mccullough such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073821609 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | MT004569 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Michelle Dawn Mccullough is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Michelle Dawn Mccullough, 1321 Prospect Rd, Madison, GA 30650-3151 Ph: (706) 474-1625 | Mrs Michelle Dawn Mccullough, 131 W Jefferson St, Madison, GA 30650-1368 Ph: (706) 342-2242 |
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