Mccaysville Internal Medicine Llc

LBN: Mccaysville Internal Medicine Llc
Mccaysville Internal Medicine Llc is an health care organization with primary practice located at 6 Elm St , Blue Ridge GA 30513-2906. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Mccaysville Internal Medicine Llc can be contacted via phone (706) 492-4294, or through Jabaley Ii, Ronald Timothy via phone (706) 492-4226.

Contact Information

Primary practice address
6 Elm St Blue Ridge GA 30513-2906
Phone: (706) 492-4294
Fax: (706) 492-4226
Website:
Map and Directions
Authorized official contact:
Name: Jabaley Ii, Ronald Timothy Doctor of Medicine (MD)
Phone: (706) 492-4226

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1477574473
LBN Legal business name Mccaysville Internal Medicine Llc
DBA Doing business as
Authorized official Jabaley Ii, Ronald Timothy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2006
Last updated Apr 15th, 2015 - about 10 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 1477574473 NPPES
Other DG1562 RAILROAD MEDICARE
MEDICAID 3709117 RAILROAD MEDICARE

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