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Contact Information

JILL BUCKTHAL MCCUIN, MD
1000 COWLES CLINC WAY
ASPEN COTTAGES
GREENSBORO, GA30642-5285
 Phone: 706-225-7177
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatopathology

207ND0900X 07 Physician/Dermatology
 

Procedural Dermatology

207NS0135X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for JILL BUCKTHAL MCCUIN · (Female)

NPI Number 1780803098
Status Active
Credentials MD
Entity Individual
Enumeration date 04/25/2007
Last updated 06/09/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 061214
  • GA License # 61214
  • GA Medicaid 874913241A
  • GA Other P00693238 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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