Middle Georgia Internal Medicine Llc

LBN: Middle Georgia Internal Medicine Llc
Middle Georgia Internal Medicine Llc is an health care organization with primary practice located at 2400 Bellevue Rd Suite 19-B Erin Office Park, Dublin GA 31021-2885. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Middle Georgia Internal Medicine Llc can be contacted via phone (478) 272-2599, or through Lolabhattu, Raghu Nandan via phone (478) 272-2599.

Contact Information

Primary practice address
2400 Bellevue Rd Suite 19-B Erin Office Park Dublin GA 31021-2885
Fax: (478) 272-6441
Website:
Authorized official contact:
Name: Lolabhattu, Raghu Nandan Doctor of Medicine (MD)

Health care specialties

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

Profile Details

NPI number 1306968235
LBN Legal business name Middle Georgia Internal Medicine Llc
DBA Doing business as
Authorized official Lolabhattu, Raghu Nandan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2007
Last updated Aug 22nd, 2020 - about 4 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 1306968235 NPPES
Georgia MEDICAID 00901183C
Georgia Other 1851397368

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