Macmed Llc

LBN: Macmed Llc
Macmed Llc is an health care organization with primary practice located at 2927 Demere Rd Atten: Dr Andrew T Mcrae, St Simons Island GA 31522-1620. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Macmed Llc can be contacted via phone (912) 638-1999, or through Rivenbark, Judy S via phone (850) 279-4917.

Contact Information

Primary practice address
2927 Demere Rd Atten: Dr Andrew T Mcrae St Simons Island GA 31522-1620
Phone: (912) 638-1999
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rivenbark, Judy S Doctor of Medicine (MD)
Phone: (850) 279-4917

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X GA051731 Georgia
Allopathic & Osteopathic Physicians / General Practice 208D00000X GA11411 Georgia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X GA11411 Georgia

Profile Details

NPI number 1417062613
LBN Legal business name Macmed Llc
DBA Doing business as
Authorized official Rivenbark, Judy S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2006
Last updated Aug 29th, 2012 - about 13 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 1417062613 NPPES
Georgia MEDICAID 300034700A

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