Individual
JADAN PINCKNEY MCGHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
601 N LEE ST, VALDOSTA, GA 31601-4725
(229) 247-8025
(229) 245-8432
Mailing address
3798 OLD VINE WAY, VALDOSTA, GA 31605
(229) 671-9061
(229) 245-8432
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN149417
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
656217909A
—
GA
Enumeration date
10/20/2006
Last updated
07/08/2007
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