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NPI Code Detail

MEDICARE: DR. PATRICK MICHAEL MCGANN

MEDICARE: DR. PATRICK MICHAEL MCGANN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician061132GA
22086S0127XTrauma Surgery Physician061132GA

General Provider Information

NPI Number : 1215107842
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICK MICHAEL MCGANN
Provider Business Mailing Address
First Line : 55 WHITCHER ST NE STE 130
Second Line :
City : MARIETTA
State : GA
Zip : 30060-1156
Country : US
Telephone Number : 770-426-1629
Fax Number : 770-427-8001
Provider Business Practice Location Address
First Line : 55 WHITCHER ST NE STE 130
Second Line :
City : MARIETTA
State : GA
Zip : 30060-1156
Country : US
Telephone Number : 770-426-1629
Fax Number : 770-427-8001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2008
Last Update Date : 10/09/2019

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Directions to “ DR. PATRICK MICHAEL MCGANN ” Practice Location

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