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Individual

MS. DELAINE MCGAHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, BC, MAC,

Contact information

Practice address
4 E MOORE ST, STATESBORO, GA 30458-4590
(912) 764-5049
Mailing address
4 E MOORE ST, STATESBORO, GA 30458-4590
(912) 764-5049

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
GA057561
GA

Other

Enumeration date
02/28/2007
Last updated
07/08/2007
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