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NPI Code Detail

MEDICARE: MARTIN MCCANN MD

MEDICARE:   MARTIN  MCCANN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianMD.8766AL
2207ZC0500XCytopathology PhysicianMD.8766AL

General Provider Information

NPI Number : 1194188300
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTIN MCCANN MD
Provider Business Mailing Address
First Line : PO BOX 580
Second Line :
City : FORTSON
State : GA
Zip : 31808-0580
Country : US
Telephone Number : 706-218-8561
Fax Number :
Provider Business Practice Location Address
First Line : 6000 RIVER RD APT 1106
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-4582
Country : US
Telephone Number : 706-218-8561
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2016
Last Update Date : 04/04/2016

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Directions to “ MARTIN MCCANN MD” Practice Location

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