Buckthal-Mccuin, Jill

Buckthal-Mccuin, Jill is an individual health care provider with primary practice located at 1000 Cowles Clinc Way Aspen Cottages, Greensboro GA 30642-5285. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatopathology is her primary health care specialty. Buckthal-Mccuin, Jill can be contacted via phone (706) 225-7177.

Contact Information

Primary practice address
1000 Cowles Clinc Way Aspen Cottages Greensboro GA 30642-5285
Phone: (706) 225-7177
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 061214 Georgia
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 61214 Georgia

Profile Details

NPI number 1780803098
LBN Legal business name Buckthal-Mccuin, Jill
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2007
Last updated Jun 9th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780803098 NPPES
Georgia MEDICAID 874913241A
Georgia Other P00693238

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