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Individual

MRS. DONNA L MCCANN

Active
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Individual

MRS. DONNA L MCCANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
039171
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00623246B
—
GA
Enumeration date
10/02/2006
Last updated
07/08/2007
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