Alishia Mary McCoullough, FNP-C, FNP-BC
Nurse Practitioner, Family in Augusta, GA. Individual provider (NPI-1).
NPI number1982197570
StatusActive
Last updated in NPPESJul 11, 2018
Details
- NPI
- 1982197570
- Entity type
- Individual (NPI-1)
- Name
- Alishia Mary McCoullough
- Credential
- FNP-C, FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2018
- Last updated
- Jul 11, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | RN266834 | GA | Yes |
Practice location
1350 Walton WayAugusta, GA 30901
Phone 706-722-9011
Mailing address
Po Box 1705Augusta, GA 30903-1705
Phone 706-774-7263 · Fax 706-774-7230
Other practice locations
1350 Walton Way
Augusta, GA 30901-2612
Augusta, GA 30901-2612
Phone 706-722-9011
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All 263 Family Nurse Practitioner providers in Augusta · All 8,576 providers in Augusta
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