Individual
DANIEL H MAGILL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 OGLETHORPE AVE, ATHENS, GA 30606-2221
(706) 546-8510
(706) 546-1147
Mailing address
PO BOX 5860, ATHENS, GA 30604-5860
(706) 546-8510
(706) 546-1147
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
014287
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115882A
—
GA
01
—
00711
BLUE SHIELD
GA
01
—
060014202
RAILROAD MEDICARE
GA
01
—
1265571
UNITED HEALTHCARE
GA
01
—
5033001
AETNA
GA
Enumeration date
07/11/2005
Last updated
02/11/2010
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