Individual
CHARLA REBECCA MCGAHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
800 1ST ST STE 240, MACON, GA 31201-8308
(478) 633-6900
(478) 633-2175
Mailing address
800 1ST ST STE 240, MACON, GA 31201-8308
(478) 633-6900
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN160137
GA
Other
Enumeration date
08/18/2019
Last updated
01/18/2022
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