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General NPI Number Information
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NPI Number | 1790684405
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Entity Type | Individual
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Provider Name | ELSIE MCALLISTER NP
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Gender | Female
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 1902 FORSYTH ST
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City | MACON
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State | GA
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Zip | 31201-8132
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Country | US
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Telephone | 478-250-9785
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Fax |
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Provider Business Mailing Address
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Address Line | 128 SILVERSIDE DR
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City | PERRY
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State | GA
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Zip | 31069-9472
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Country | US
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Telephone | 478-303-0010
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | APRN-NP269247
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License Number State | GA
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