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General NPI Number Information
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NPI Number | 1649627720
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Entity Type | Individual
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Provider Name | JODI MCGILL
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Gender | Female
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Dates
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Enumeration Date | 05/19/2016
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 173 BOULEVARD NE
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City | ATLANTA
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State | GA
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Zip | 30312-1468
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Country | US
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Telephone | 404-658-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 167 INMAN DR
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City | DECATUR
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State | GA
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Zip | 30030-3831
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Country | US
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Telephone | 404-543-7598
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN100389
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License Number State | GA
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