NPI 1861762007 · live from the CMS NPI Registry
Allied Health Systems
Internal Medicine in Hinesville, GA. National Provider Identifier 1861762007, active.
NPI record
| NPI | 1861762007 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 455 S Main St, Hinesville, GA 31313 |
| Practice phone | 912-876-6868 |
| Mailing address | 455 S Main St Ste 103, Hinesville, GA 31313 |
| Enumerated | January 5, 2012 |
| Last updated | June 28, 2012 |
| Authorized official | Amy Burney, Executive Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional | 101YP2500X | — |
| Psychologist | 103T00000X | — |
| Pediatrics | 208000000X | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — |
| Physician Assistant | 363A00000X | — |
| Internal Medicine primary | 207R00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.