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1588274682
MAGAN S GILLIAM
CAMILLA, GA
NPI
1588274682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN203804)
Enumeration Date
2020-08-04
Last Update Date
2020-09-24
Business Address
MAGAN S GILLIAM NP
259 US HIGHWAY 19 N
CAMILLA, GA 31730-1410
Phone number: 229-336-1949
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Mailing Address
MAGAN S GILLIAM NP
259 US HIGHWAY 19 N
CAMILLA, GA 31730-1410
Phone number: 229-336-1949
Copy
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