National Provider Identifier

George W. McCullough, RN

George W. McCullough, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Canandaigua, NY and a listed phone number of (731) 343-4543.

NPI 1013226455Canandaigua, NYRegistered Nurse

Profile Overview

NPI
1013226455
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
October 04, 2010
Last Updated
October 04, 2010

Practice Location

  • 125 N. Bloomfield RD.
  • #15
  • Canandaigua, NY 14424-1008

Phone: (731) 343-4543

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1013226455
Entity Type
Individual
Last Name
McCullough
First Name
George
Middle Name
W.
Credential
RN
Mailing Street Address
125 N. Bloomfield RD.
Mailing Address Line 2
#15
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-1008
Mailing Country
US
Mailing Phone
(731) 343-4543
Practice Street Address
125 N. Bloomfield RD.
Practice Address Line 2
#15
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-1008
Practice Country
US
Practice Phone
(731) 343-4543
Enumeration Date
October 04, 2010
Last Updated
October 04, 2010
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)