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NPI Code Detail

MEDICARE: MARCIE MCGAUGH CFNP

MEDICARE: MARCIE MCGAUGH CFNP
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
1363LF0000XFamily Nurse PractitionerR861916MS

General Provider Information

NPI Number : 1962444513
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCIE MCGAUGH CFNP
Provider Business Mailing Address
First Line : 1502 S COLORADO ST
Second Line :
City : GREENVILLE
State : MS
Zip : 38703-7219
Country : US
Telephone Number : 662-332-9872
Fax Number : 662-379-8083
Provider Business Practice Location Address
First Line : 1502 S COLORADO ST
Second Line :
City : GREENVILLE
State : MS
Zip : 38703-7219
Country : US
Telephone Number : 662-332-9872
Fax Number : 662-379-8083
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2006
Last Update Date : 04/15/2008

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Directions to “ MARCIE MCGAUGH CFNP” Practice Location

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