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Organization

HAROLD C.MCGRADE,MD,PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SANDRA S WHITMAN (OFFICE MANAGER)
(706) 722-8817
Entity
Organization

Contact information

Practice address
1350 WALTON WAY, 9TH FLOOR, AUGUSTA, GA 30901-2612
(706) 774-2455
(706) 774-5792
Mailing address
1350 WALTON WAY, 9TH FLOOR, AUGUSTA, GA 30901-2612
(706) 774-2455
(706) 774-5792

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
051064
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000949605B
GA
05
G51064
SC
Enumeration date
11/28/2007
Last updated
02/17/2011
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