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Organization
INTEGRATED TELEHEALTH LLC
Active
Organization
INTEGRATED TELEHEALTH LLC
Active
Parent organization
INTEGRATED TELEHEALTH LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTEGRATED TELEHEALTH LLC
Authorized official
DR. JON C GIBBS MD (DIRECTOR)
(706) 831-0204
Entity
Organization
Contact information
Practice address
1523 OLD VALDOSTA RD STE B, RAY CITY, GA 31645
(877) 543-7221
(877) 755-2212
Mailing address
1523 OLD VALDOSTA RD STE B, RAY CITY, GA 31645-7132
(877) 543-7221
(877) 755-2212
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
07/31/2017
Last updated
08/16/2018
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