1750447561 NPI number — MRS. LUCIANN M. MCCARTNEY MS, PT

Table of content: MRS. LUCIANN M. MCCARTNEY MS, PT (NPI 1750447561)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750447561 NPI number — MRS. LUCIANN M. MCCARTNEY MS, PT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCCARTNEY
Provider First Name:
LUCIANN
Provider Middle Name:
M.
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MS, PT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1750447561
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/09/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 RETREAT RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AUGUSTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30909-1837
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
706-306-3800
Provider Business Mailing Address Fax Number:
706-738-8513

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
814 DOGWOOD LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AUGUSTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30909-2704
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-306-3800
Provider Business Practice Location Address Fax Number:
706-738-2717
Provider Enumeration Date:
12/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  PT 003850 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 52440160 . This is a "BCBS OF GEORGIA" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 000606273F , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3339653 . This is a "WELLCARE OF GEORGIA" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 10036237 . This is a "AMERIGROUP OF GEORGIA" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".




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