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Contact Information

MIDDLE GEORGIA CHEST AND MEDICAL CENTER, LLC
1209 COLUMBIA DR
MILLEDGEVILLE, GA31061
 Phone: 478-452-3200
 Fax: 478-452-1515
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Sleep Medicine

207RS0012X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MIDDLE GEORGIA CHEST AND MEDICAL CENTER LLC · (Female)

NPI Number 1194215954
Status Active
Credentials
Entity Individual
Enumeration date 05/16/2018
Last updated 05/16/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA Medicaid 000209833G
  • GA Medicaid 003125054B
  • GA Medicaid 803300847A
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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