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General NPI Number Information
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NPI Number | 1154245231
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Entity Type | Organization
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Legal Business Name | COMPLETEMD OF GA LLC
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Dates
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Enumeration Date | 08/10/2026
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Last Update Date | 08/12/2026
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Provider Practice Location Address
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Address Line | 200 BLUE MOON XING STE 200
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City | POOLER
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State | GA
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Zip | 31322-9696
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Country | US
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Telephone | 912-925-0067
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Fax |
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Provider Business Mailing Address
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Address Line | 900 MOHAWK ST STE E
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City | SAVANNAH
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State | GA
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Zip | 31419-1768
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Country | US
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Telephone | 912-925-0067
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | PRISCILLA JONES
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Credential |
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Telephone | 912-925-0067
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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