Individual
DR. GEORGE MILTON MCCLUSKEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
30342
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
#009939871
—
AL
05
—
000430438
—
GA
05
—
00430438I
—
GA
01
—
20NCCRR
MEDICARE PTAN
GA
01
—
52255395-006
BLUE CROSS BLUE SHIELD OF GEORGIA
GA
01
—
601-05060
BLUE CROSS BLUE SHILED OF ALABAMA
AL
Enumeration date
11/07/2005
Last updated
08/07/2024
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