CARA JEAN MCCULLAH

EASTLAKE MEDICAL, LLC

Dr CARA JEAN MCCULLAH is a female medical professional, specializing in Nurse Practitioner. She graduated in 2014.

Contact

EASTLAKE MEDICAL, LLC

2500 JACKSBORO PIKE
SUITE 6
JACKSBORO
TN
377572818

Tel: 4233526500

CARA JEAN MCCULLAH Information

Npi 1497144968
Pac Id 8224358502
Professional Enrollment Id I20150528000818
Last Name MCCULLAH
First Name CARA JEAN
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2014
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name EASTLAKE MEDICAL, LLC
Group Practice Pac Id 6901174788
Number Of Group Practice Members 4
Line 1 Street Address 2500 JACKSBORO PIKE
Line 2 Street Address SUITE 6
Marker Of Address Line 2 Suppression
City JACKSBORO
State TN
Zip Code 377572818
Phone Number 4233526500
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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