Individual
DR. GEORGE MILTON MCCLUSKEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2300 MANCHESTER EXPY, STE 101A, COLUMBUS, GA 31904-6802
(706) 322-2462
(706) 322-2891
Mailing address
2300 MANCHESTER EXPY STE 2001A, COLUMBUS, GA 31904-6802
(706) 320-3126
(706) 320-3054
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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