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Contact Information

DUBLIN INTERNAL MEDICINE
104 FAIRVIEW PARK DR
DUBLIN, GA31021
 Phone: 478-272-1366
 Fax: 478-277-1922
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DUBLIN INTERNAL MEDICINE

NPI Number 1073618856
LBN Legal business name DUBLIN INTERNAL MEDICINE
Authorized official ELLEN BARR - (ASST. ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/14/2006
Last updated 12/09/2009 - About 16 years ago
Identifiers
GA Medicaid 55000983A
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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