East Georgia Hma Physician Management, LLC
Internal Medicine in Statesboro, GA. Organization (NPI-2).
NPI number1487983151
StatusActive
Last updated in NPPESNov 4, 2025
Details
- NPI
- 1487983151
- Entity type
- Organization (NPI-2)
- Legal business name
- East Georgia Hma Physician Management, LLC
- Organization subpart
- No
- Enumeration date
- Dec 9, 2009
- Certification date
- Nov 4, 2025
- Last updated
- Nov 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 208600000X | Surgery | – | – | |
| 2086S0129X | – | – | ||
| 208VP0000X | – | – | ||
| 363L00000X | Nurse Practitioner | – | – | |
| 363AS0400X | Physician Assistant, Surgical | – | – | |
| 363AM0700X | Physician Assistant, Medical | – | – | |
| 207Q00000X | Family Medicine | – | – | |
| 207RG0300X | Internal Medicine, Geriatric Medicine | – | – | |
| 207RG0100X | Internal Medicine, Gastroenterology | – | – | |
| 207RP1001X | Internal Medicine, Pulmonary Disease | – | – | |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | – | – | |
| 207RI0011X | Internal Medicine, Interventional Cardiology | – | – |
Practice location
1497 Fair RdStatesboro, GA 30458-0822
Phone 912-486-1710
Mailing address
4000 Meridian BlvdFranklin, TN 37067-6325
Phone 615-465-7000
Authorized official
Jennifer L Jackson
Sr Dir Prov Enrollment
6154657000
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All 31 Internal Medicine Physician providers in Statesboro · All 1,371 providers in Statesboro
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