Samuel Scott Mccullough Iii

FNP-C | Nurse Practitioner

120 Fountains Blvd # 1000, Madison
  Mississippi, 39110-6343
763-300-0700
May or may not accept Medicare Nurse Anesthetist in Madison, Mississippi.
Samuel Scott Mccullough Iii is a Madison, Mississippi based nurse practitioner. Active license number of Samuel Scott Mccullough Iii is 903614 in Mississippi. His current practice location is 120 Fountains Blvd # 1000, Madison. Patients can reach him at 763-300-0700. Samuel Scott Mccullough Iii is FNP-C and his NPI number (Unique professional ID assigned by NPPES) is 1750923538.
Samuel Scott Mccullough Iii has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Samuel Scott Mccullough Iii speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Samuel Scott Mccullough Iii
Specialization: Nurse Practitioner (NP)
Gender:Male
Credentials: FNP-C
Practice Address:120 Fountains Blvd # 1000, Madison,
Mississippi, 39110-6343
Phone:763-300-0700
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1750923538
NPI Enumeration Date: 12 Oct, 2019
NPI Last Update On: 12 Oct, 2019

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Samuel Scott Mccullough Iii are as mentioned below.
License NumberSpecializationStateStatus
903614 MississippiPrimary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Samuel Scott Mccullough Iii
144 Huber St,
Madison, Mississippi
Zip: 39110-6983
Phone Number: 601-260-9830
Patients can reach Samuel Scott Mccullough Iii at 120 Fountains Blvd # 1000, Madison, Mississippi or can call to book an appointment on 763-300-0700.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.