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NPI Code Detail

MEDICARE: DR. JACQUELINE MCLATCHY M.D.

MEDICARE: DR. JACQUELINE MCLATCHY M.D.
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
1207V00000XObstetrics & Gynecology Physician282008NY
2207V00000XObstetrics & Gynecology Physician90768GA

General Provider Information

NPI Number : 1811239403
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JACQUELINE MCLATCHY M.D.
Provider Business Mailing Address
First Line : 603 E LAMAR ST
Second Line :
City : AMERICUS
State : GA
Zip : 31709-3737
Country : US
Telephone Number : 229-928-3444
Fax Number : 229-928-3446
Provider Business Practice Location Address
First Line : 2100 PALMYRA RD
Second Line :
City : ALBANY
State : GA
Zip : 31701-1320
Country : US
Telephone Number : 229-888-3636
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2013
Last Update Date : 03/14/2026

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