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General NPI Number Information
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NPI Number | 1508327529
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Entity Type | Individual
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Provider Name | JOHN JAMES MCGLYNN III MD
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Gender | Male
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Dates
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Enumeration Date | 03/31/2019
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 61 WHITCHER ST NE STE 2150
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City | MARIETTA
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State | GA
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Zip | 30060-1180
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Country | US
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Telephone | 770-422-4268
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Fax | 770-422-2950
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Provider Business Mailing Address
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Address Line | 1341 CANTON RD STE A
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City | MARIETTA
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State | GA
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Zip | 30066-6056
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Country | US
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Telephone | 770-422-0517
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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 | 207PE0005X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
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License Number | 104828
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License Number State | GA
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