Organization
MIDDLE GEORGIA INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAGHU NANDAN LOLABHATTU M.D. (PROVIDER)
(478) 272-2599
Entity
Organization
Contact information
Practice address
2400 BELLEVUE RD, SUITE 19-B ERIN OFFICE PARK, DUBLIN, GA 31021-2885
(478) 272-2599
(478) 272-6441
Mailing address
PO BOX 845, SUITE 19-B ERIN OFFICE PARK, DUBLIN, GA 31040-0845
(478) 272-2599
(478) 272-6441
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00901183C
—
GA
01
—
1851397368
NPI
GA
Enumeration date
04/03/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us