Organization
ANGELITO HENRITO K JAO MD PC
Active
Organization
ANGELITO HENRITO K JAO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELITO HENRITO K JAO MD (PRESIDENT)
(770) 267-4711
Entity
Organization
Contact information
Practice address
333 ALCOVY ST, STE 3, MONROE, GA 30655-2180
(770) 267-4711
(770) 267-7320
Mailing address
PO BOX 1089, MONROE, GA 30655-1089
(770) 267-4711
(770) 267-7320
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
029685
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00349027A
—
GA
01
—
52237698001
BLUE CROSS/BLUE SHIELD
GA
01
—
905606
SOUTHCARE
—
Enumeration date
08/18/2005
Last updated
09/18/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up