Stringfellow, Jackie Lee
Stringfellow, Jackie Lee is an individual health care provider with primary practice located at 101 Doctors Dr , Carrollton GA 30117-4486. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Stringfellow, Jackie Lee can be contacted via phone (770) 834-6208.Contact Information
Primary practice address
101 Doctors Dr
Carrollton GA 30117-4486
Phone: (770) 834-6208
Fax: (770) 830-7620
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 025052 | Georgia |
Profile Details
| NPI number | 1386625200 |
|---|---|
| LBN Legal business name | Stringfellow, Jackie Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Nov 21st, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386625200 | NPPES |
| Georgia | MEDICAID | 00265691D |
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