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General NPI Number Information
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NPI Number | 1427708270
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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 | 03/25/2022
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Last Update Date | 03/25/2022
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Provider Practice Location Address
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Address Line | 2109 HIGHWAY 129 S
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City | CLEVELAND
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State | GA
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Zip | 30528-7171
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Country | US
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Telephone | 706-865-0666
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Fax | 706-865-0906
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Provider Business Mailing Address
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Address Line | PO BOX 459
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City | COLBERT
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State | GA
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Zip | 30628-0459
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Country | US
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Telephone | 706-788-3234
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Fax | 706-788-2936
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Authorized Official
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Title or Position | CEO
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Name | DAVE 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 | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number |
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License Number State |
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