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General NPI Number Information
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NPI Number | 1770847154
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Entity Type | Individual
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Provider Name | RYAN MCGAUGHEY M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/29/2012
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 970 LAKELAND DR STE 45
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City | JACKSON
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State | MS
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Zip | 39216-4640
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Country | US
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Telephone | 601-200-4690
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Fax |
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Provider Business Mailing Address
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Address Line | 3688 VETERANS MEMORIAL DR
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City | HATTIESBURG
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State | MS
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Zip | 39401-8246
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Country | US
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Telephone |
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 24480
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 56573
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 56573
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 24480
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License Number State | MS
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Taxonomy #5
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 24480
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License Number State | MS
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