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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780803098 | NPPES |
| Georgia | MEDICAID | 874913241A | |
| Georgia | Other | P00693238 |
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