Individual
JOHN R MCNAIR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
745 POPLAR ROAD, NEWNAN, GA 32605-1618
(770) 400-1000
Mailing address
745 POPLAR ROAD, NEWNAN, GA 30265-1618
(770) 400-1000
(305) 441-2144
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
041165
GA
2085R0202X
Diagnostic Radiology Physician
41165
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000531847T
—
GA
05
—
000531874AB
—
GA
01
—
P01081254
RAILROAD MEDICARE
GA
Enumeration date
12/13/2005
Last updated
03/03/2016
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