Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 061132 | GA |
N | 208600000X | Surgeon | 061132 | GA |
Y | 2086S0127X | Trauma Surgeon | 061132 | GA |
NPI | 1215107842 |
---|---|
Provider Name | Dr. Patrick Michael Mcgann |
First Address | Marietta, GA 30060-1156 |
Second Address | Marietta, GA 30060-1156 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/03/2008 |
Last Update Date | 09/10/2019 |