Internal Medicine Of Southeast Georgia in Jesup - Internal Medicine
Internal Medicine Of Southeast Georgia - NPI 1154543106
Internal Medicine Of Southeast Georgia is a Internal Medicine in Jesup, Georgia. Internal Medicine Of Southeast Georgia practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Internal Medicine Of Southeast Georgia is 1154543106. The last update date is 2018-01-17.
Internal Medicine Of Southeast Georgia's current location address is 351 Peachtree St, Jesup, Georgia. You can contact this provider via phone number 9125306582 and fax number 9125306584. The mailing address for Internal Medicine Of Southeast Georgia is 351 Peachtree St, Jesup, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Internal Medicine Of Southeast Georgia |
|---|---|
| Address | 351 Peachtree St, Jesup, Georgia |
| Phone Number | 9125306582 |
| Fax Number | 9125306584 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Hendrix Lance S |
| Credentials | MD |
| Telephone Number | 9125306582 |
NPI Number Detail
| NPI Number | 1154543106 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2018-01-17 |
Provider Mailing Address Detail
| Address | 351 Peachtree St |
|---|---|
| City | Jesup |
| State | Georgia (GA) |
| Post Code | 315450245 |
| Phone Number | 9125306582 |
| Fax Number | 9125306584 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DF9280 | GA | RAILROAD MEDICARE GROUP | |
| N371138 | GA | WELLCARE | |
| 189166661B | GA | -- | |
| 2781716 | GA | UNITED HEALTHCARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Internal Medicine Of Southeast Georgia by the Centers for Medicare & Medicaid Services?
The Internal Medicine Of Southeast Georgia has been assigned the NPI (National Provider Identifier) 1154543106 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Internal Medicine Of Southeast Georgia is physically located?
The Internal Medicine Of Southeast Georgia is physically situated at the following address: 351 Peachtree St, Jesup, GA, 315450245.
What is Internal Medicine Of Southeast Georgia's area of expertise and its corresponding taxonomy classification?
The Internal Medicine Of Southeast Georgia's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1154543106 to Internal Medicine Of Southeast Georgia?
The Internal Medicine Of Southeast Georgia received its 1154543106 assignment from the Centers for Medicare & Medicaid Services on 2007-05-02.
When was the Internal Medicine Of Southeast Georgia's information last updated?
The Internal Medicine Of Southeast Georgia's information was last updated on 2018-01-17.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC