SearchGeorgia225200000X

Xavier Mccullough, PTA

NPI 1932742202 · on the registry since 2019

Practice

Address
898 Hampton Rd
Mcdonough, GA 30253
Phone
(678) 583-9954
Fax
(678) 583-8709
Organisation at this address
Independent Physical Therapy Of Ga, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Additional practice sites

  • 3100 Olympus Blvd, Dallas, TX
  • 1611 W Main St, El Centro, CA

Registry record

Primary taxonomy
225200000X
225200000X
Also registered as
225200000X
Licence states on file
GA, CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-06-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia