| Lauren Elizabeth Mccullough, DPT | |
|
909 S Park St, Ste B, Carrollton, GA 30117-4456 | |
| (770) 834-8702 | |
| (770) 830-8106 |
| Full Name | Lauren Elizabeth Mccullough |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 909 S Park St, Carrollton, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336557453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT011581 (Georgia) | Primary |
| Provider Name | Emory Physical Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1922018423 PECOS PAC ID: 1153382676 Enrollment ID: O20041019000776 |
| Provider Name | Georgia Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1245826999 PECOS PAC ID: 4082027727 Enrollment ID: O20210119001811 |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Elizabeth Mccullough, DPT 8259 Wicker Ave, Saint John, IN 46373-8878 Ph: (800) 341-1703 | Lauren Elizabeth Mccullough, DPT 909 S Park St, Ste B, Carrollton, GA 30117-4456 Ph: (770) 834-8702 |
Wilbur Lew Blackman Iii, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 812 S Park St, Carrollton, GA 30117 Phone: 770-834-7436 Fax: 770-830-5954 | |
Sarah Worley, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 812 S Park St, Carrollton, GA 30117 Phone: 770-834-7436 Fax: 770-830-5954 | |
Mrs. Rebecca Smith, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 812 S Park St, Carrollton, GA 30117 Phone: 770-834-7436 Fax: 770-830-5954 | |
Hannah Alise Cothran, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1004 Bankhead Hwy Ste 5, Carrollton, GA 30117 Phone: 770-834-5609 | |
Mr. Vaughn Williams, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 812 S Park St, Carrollton, GA 30117 Phone: 770-830-9517 Fax: 770-830-5957 | |
George Bo Hamil Jr., PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 812 S Park St, Carrollton, GA 30117 Phone: 770-834-7436 Fax: 770-830-5954 | |
Darcia Farrell, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 812 South Park St, Carrollton, GA 30117 Phone: 770-834-7436 Fax: 770-830-5954 |