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Individual

DR. DAVID WENDELL MCKINNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
380 HOSPITAL DR., SUITE 410, MACON, GA 31217
(478) 746-5644
(478) 745-4849
Mailing address
P.O. BOX 2564, MACON, GA 31203-2564
(478) 746-5644
(478) 745-4849

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
062398
GA
207L00000X
Anesthesiology Physician
MD27523
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
214455199B
GA
05
214455199C
GA
05
214455199D
GA
05
214455199E
GA
05
3890536
TN
01
566848
WELLCARE
GA
01
580628385
TRICARE
GA
01
P00880783
RAILROAD MEDICARE
GA
Enumeration date
11/10/2005
Last updated
06/04/2013
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