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General NPI Number Information
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NPI Number | 1538340914
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Entity Type | Organization
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Legal Business Name | E CHANDLER MCDAVID
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Dates
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Enumeration Date | 11/14/2007
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Last Update Date | 04/04/2024
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Provider Practice Location Address
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Address Line | 205 MEDICAL ARTS DRIVE
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City | SANDERSVILLE
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State | GA
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Zip | 31082-1987
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Country | US
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Telephone | 478-552-2020
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Fax | 478-552-3714
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Provider Business Mailing Address
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Address Line | 205 MEDICAL ARTS DRIVE
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City | SANDERSVILLE
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State | GA
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Zip | 31082-1987
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Country | US
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Telephone | 478-552-2020
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Fax | 478-552-3714
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Authorized Official
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Title or Position | OWNER/MD
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Name | DR. EDWARD CHANDLER MCDAVID
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Credential | MD
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Telephone | 478-552-2020
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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 | 026794
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License Number State | GA
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