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Contact Information

INTEGRATED TELEHEALTH LLC
1523 OLD VALDOSTA RD STE B
RAY CITY, GA31645
 Phone: 877-543-7221
 Fax: 877-755-2212
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for INTEGRATED TELEHEALTH LLC · (Female)

NPI # 1699299842
Status Active
Credentials
Entity Individual
Enumeration date 07/31/2017
Last updated 08/16/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA Medicaid 000616624F
  • SC Medicaid G38493
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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