Organization
MCCAYSVILLE INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD TIMOTHY JABALEY II M.D. (PRESIDENT)
(706) 492-4226
Entity
Organization
Contact information
Practice address
6 ELM ST, BLUE RIDGE, GA 30513-2906
(706) 492-4294
(706) 492-4226
Mailing address
PO BOX 1058, MC CAYSVILLE, GA 30555-1058
(706) 492-4294
(706) 492-4226
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3709117
—
TN
01
—
DG1562
RAILROAD MEDICARE
—
Enumeration date
07/22/2006
Last updated
04/15/2015
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