Northeast Internal Medicine, P.C.

LBN: Northeast Internal Medicine, P.C.
Northeast Internal Medicine, P.C. is an health care organization with primary practice located at 333 Alcovy St Suite 8, Monroe GA 30655-2180. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Northeast Internal Medicine, P.C. can be contacted via phone (770) 267-9484, or through Digamon-Beltran, Marilyn via phone (770) 267-9484.

Contact Information

Primary practice address
333 Alcovy St Suite 8 Monroe GA 30655-2180
Phone: (770) 267-9484
Fax: (770) 267-1600
Website:
Map and Directions
Authorized official contact:
Name: Digamon-Beltran, Marilyn Doctor of Medicine (MD)
Phone: (770) 267-9484

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 065514 Georgia
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X 027031 Georgia
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 065514 Georgia

Profile Details

NPI number 1972636710
LBN Legal business name Northeast Internal Medicine, P.C.
DBA Doing business as
Authorized official Digamon-Beltran, Marilyn Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2007
Last updated Sep 18th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972636710 NPPES
Georgia MEDICAID 003124228A
Georgia Other 3692
Georgia Other 027031
Georgia Other 1639254881
Georgia Other 202I118301
Georgia MEDICAID 000299912A
Georgia Other 1912194960
Georgia Other 065514

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