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
Phone: (478) 272-2599
Fax: (478) 272-6441
Website:
Authorized official contact:
Name: Lolabhattu, Raghu Nandan Doctor of Medicine (MD)
Phone: (478) 272-2599
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1306968235 | NPPES |
Georgia | MEDICAID | 00901183C | |
Georgia | Other | 1851397368 |
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