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NPI Code Detail

MEDICARE: JODI MCGILL

MEDICARE: JODI MCGILL
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
1363LF0000XFamily Nurse PractitionerRN100389GA

General Provider Information

NPI Number : 1649627720
Entity Type Code : Individual
Provider Name (Legal Business Name) : JODI MCGILL
Provider Business Mailing Address
First Line : 167 INMAN DR
Second Line :
City : DECATUR
State : GA
Zip : 30030-3831
Country : US
Telephone Number : 404-543-7598
Fax Number :
Provider Business Practice Location Address
First Line : 173 BOULEVARD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30312-1468
Country : US
Telephone Number : 404-658-1500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2016
Last Update Date : 10/13/2025

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Directions to “ JODI MCGILL ” Practice Location

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