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General NPI Number Information
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NPI Number | 1073094603
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Entity Type | Individual
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Provider Name | JOHN EVERETTE MCGEE PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/22/2018
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Last Update Date | 08/22/2018
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Provider Practice Location Address
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Address Line | 964 GI MADDOX PKWY
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City | CHATSWORTH
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State | GA
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Zip | 30705-4000
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Country | US
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Telephone | 706-517-7312
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Fax |
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Provider Business Mailing Address
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Address Line | 325 OLD LAKE RD
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City | TUNNEL HILL
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State | GA
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Zip | 30755-9734
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0000041403
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH029946
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License Number State | GA
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