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General NPI Number Information
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NPI Number | 1689619678
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Entity Type | Individual
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Provider Name | GEORGE LEE MCCASKILL M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 02/17/2017
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Provider Practice Location Address
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Address Line | 2415 PARKWOOD DRIVE
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City | BRUNSWICK
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State | GA
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Zip | 31520-4722
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Country | US
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Telephone | 912-466-7187
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Fax | 912-466-7185
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Provider Business Mailing Address
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Address Line | 2415 PARKWOOD DRIVE
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City | BRUNSWICK
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State | GA
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Zip | 31520-4722
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Country | US
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Telephone | 912-466-7188
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Fax | 912-466-7185
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 29624
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 063689
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 063689
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License Number State | GA
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