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General NPI Number Information
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NPI Number | 1902764319
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Entity Type | Organization
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Legal Business Name | MEDLINK GEORGIA, INC
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Dates
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Enumeration Date | 01/13/2026
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 811 HIGHWAY 441 N STE 101
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City | CLAYTON
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State | GA
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Zip | 30525-4202
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Country | US
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Telephone | 706-389-8692
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 459
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City | COLBERT
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State | GA
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Zip | 30628-0459
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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 | CEO
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Name | DAVE WARD
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Credential |
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Telephone | 706-788-3234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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