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General NPI Number Information
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NPI Number | 1730193046
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Entity Type | Individual
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Provider Name | LLOYD GEORGE GEDDES JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 12/30/2011
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Provider Practice Location Address
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Address Line | 2665 N DECATUR RD SUITE 150
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City | DECATUR
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State | GA
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Zip | 30033-6149
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Country | US
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Telephone | 404-501-5180
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Fax | 404-501-6180
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Provider Business Mailing Address
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Address Line | PO BOX 89277
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City | ATLANTA
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State | GA
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Zip | 30312-0277
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Country | US
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Telephone | 404-272-5072
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Fax | 404-501-6190
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 045798
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License Number State | GA
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