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General NPI Number Information
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NPI Number | 1245732254
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Entity Type | Organization
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Legal Business Name | MEDLINK GEORGIA INC
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Dates
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Enumeration Date | 03/06/2018
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 11 CHARLIE MORRIS RD
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City | COLBERT
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State | GA
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Zip | 30628-2445
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Country | US
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Telephone | 678-975-3493
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Fax | 470-429-3890
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Provider Business Mailing Address
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Address Line | 11 CHARLIE MORRIS RD
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City | COLBERT
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State | GA
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Zip | 30628-2445
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Country | US
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Telephone | 678-975-3493
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Fax | 470-429-3890
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Authorized Official
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Title or Position | CEO
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Name | DAVID WARD
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Credential |
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Telephone | 706-788-3234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHRE010435
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License Number State | GA
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