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Individual

MAGDALENE JO MAGEE

Active
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Individual

MAGDALENE JO MAGEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
004379
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139553290B
—
GA
05
—
139553290C
—
GA
01
—
P00244914
RAILROAD MEDICARE
GA
Enumeration date
05/24/2006
Last updated
05/01/2014
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