Individual
JIMMY V. LEMKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
447 N BELAIR RD STE 104, EVANS, GA 30809
(706) 854-2180
(706) 854-2189
Mailing address
PO BOX 1705, SUITE 4C, AUGUSTA, GA 30903-1705
(706) 774-7263
(706) 774-7230
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
016438
SC
207R00000X
Internal Medicine Physician
Primary
32421
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00453032D
—
GA
01
—
110102923
RAILROAD MEDICARE
—
01
—
11D0687551
CLIA # FOR GROUP
—
05
—
G32421
—
SC
Enumeration date
01/24/2007
Last updated
11/28/2018
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