Prine, Jeremy Jacob
Prine, Jeremy Jacob is an individual health care provider with primary practice located at 3200 Riverside Dr Bldg C, Macon GA 31210-2550. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Prine, Jeremy Jacob can be contacted via phone (478) 474-2947.Contact Information
Primary practice address
3200 Riverside Dr Bldg C
Macon GA 31210-2550
Phone: (478) 474-2947
Fax: (478) 971-4004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | L071618 | Georgia |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 071618 | Georgia |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 071618 | Georgia |
Profile Details
| NPI number | 1508000332 |
|---|---|
| LBN Legal business name | Prine, Jeremy Jacob |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2009 |
| Last updated | Oct 22nd, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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