Internal Medicine Clinic

LBN: Carlton A Lue, Md,Pc
Internal Medicine Clinic is an health care organization with primary practice located at 182 Perry House Rd Suite A, Fitzgerald GA 31750-8721. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Carlton A Lue, Md,Pc can be contacted via phone (229) 424-7331, or through Lue, Carlton A via phone (229) 424-7331.

Contact Information

Primary practice address
182 Perry House Rd Suite A Fitzgerald GA 31750-8721
Fax: (229) 424-7328
Website:
Authorized official contact:
Name: Lue, Carlton A Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 042340 Georgia

Profile Details

NPI number 1225188972
LBN Legal business name Carlton A Lue, Md,Pc
DBA Doing business as Internal Medicine Clinic
Authorized official Lue, Carlton A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1225188972 NPPES
Georgia MEDICAID 330401
Georgia MEDICAID 00720376A

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