Peebles, Jimmy

Peebles, Jimmy is an individual health care provider with primary practice located at 1350 Walton Way , Augusta GA 30901-2612. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Peebles, Jimmy can be contacted via phone (904) 805-1300.

Contact Information

Primary practice address
1350 Walton Way Augusta GA 30901-2612
Phone: (904) 805-1300
Fax: (904) 805-1302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 32451 Georgia

Profile Details

NPI number 1366478281
LBN Legal business name Peebles, Jimmy
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Mar 17th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366478281 NPPES
Georgia Other 005735 BLUE CROSS
Georgia Other 930037620 BLUE CROSS
Georgia Other G32451 BLUE CROSS
Georgia MEDICAID 000409076J BLUE CROSS

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