Buggs, Theodis

Buggs, Theodis is an individual health care provider with primary practice located at 750 Townpark Ln Nw Kaiser Permanente Townpark Medical Center, Kennesaw GA 30144-5579. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Buggs, Theodis can be contacted via phone (205) 783-7830.

Contact Information

Primary practice address
750 Townpark Ln Nw Kaiser Permanente Townpark Medical Center Kennesaw GA 30144-5579
Phone: (205) 783-7830
Fax: (205) 783-7832
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 00009766 Alabama
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 028947 Georgia

Profile Details

NPI number 1215034483
LBN Legal business name Buggs, Theodis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jan 10th, 2022 - about 2 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 1215034483 NPPES
Alabama Other 51521019 BLUE CROSS BLUE SHIELD OF
Alabama MEDICAID 051521019 BLUE CROSS BLUE SHIELD OF

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