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SAINT JOSEPHS MEDICAL GROUP INC NPI 1154349850


NPI Information

NPI: 1154349850
Provider Name: SAINT JOSEPHS MEDICAL GROUP INC

Other Name: SJC MEDICAL GROUP - PEMBROKE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
159 WEST RAILROAD ST
PEMBROKE, GA
ZIP 31321
Phone: (912) 653-2897
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SAINT JOSEPHS MEDICAL GROUP INC is a family medicine in Pembroke, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SAINT JOSEPHS MEDICAL GROUP INC NPI is 1154349850. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Sjc Medical Group - Pembroke.

The provider's business location address is:

159 WEST RAILROAD ST
PEMBROKE, GA
ZIP 31321
Phone: (912) 653-2897
Fax: (912) 653-4299

The provider's authorized official is Paul P Hinchey .
The authorized official title is President Ceo and has the following contact phone number (912) 819-6901.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 4/2/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1113841MEDICARE OSCAR/CERTIFICATIONGEORGIA
22555OTHERGEORGIAGROUP MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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