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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

NPI Number 1699299842
LBN Legal business name INTEGRATED TELEHEALTH LLC
Authorized official JON GIBBS - (DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/31/2017
Last updated 08/16/2018 - About 8 years ago
Identifiers
GA Medicaid 000616624F
SC Medicaid G38493
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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