Individual
DR. JEFFREY N MCINTIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1250 JESSE JEWELL PKWY SE STE 500, GAINESVILLE, GA 30501-3865
(770) 531-2444
(770) 534-9877
Mailing address
PO BOX 2438, GAINESVILLE, GA 30503-2438
(770) 531-2444
(770) 534-9877
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
033142
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000429701E
—
GA
05
—
000429701F
—
GA
01
—
1356439541
RAILROAD MEDICARE
GA
01
—
1457553968
RAILROAD MEDICARE GROUP NPI#
GA
05
—
89066X8
—
NC
01
—
GRP7496
MEDICARE GRP PROV #
GA
Enumeration date
10/11/2006
Last updated
04/23/2009
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