C. Thomas Bevill Iii Md, Pc

LBN: C. Thomas Bevill Iii Md, Pc
C. Thomas Bevill Iii Md, Pc is an health care organization with primary practice located at 12 Medical Dr Ne , Cartersville GA 30121-8002. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. C. Thomas Bevill Iii Md, Pc can be contacted via phone (770) 386-1000, or through Bevill, C. Thomas via phone (770) 386-1000.

Contact Information

Primary practice address
12 Medical Dr Ne Cartersville GA 30121-8002
Phone: (770) 386-1000
Fax: (770) 386-9165
Website:
Map and Directions
Authorized official contact:
Name: Bevill, C. Thomas Doctor of Medicine (MD)
Phone: (770) 386-1000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 028143 Georgia

Profile Details

NPI number 1518089820
LBN Legal business name C. Thomas Bevill Iii Md, Pc
DBA Doing business as
Authorized official Bevill, C. Thomas Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2007
Last updated Jan 26th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518089820 NPPES
Georgia Other 511I080035 MEDICARE ID

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