Organization
MCINTOSH CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA MOORE (ADMINISTRATION)
(229) 225-1900
Entity
Organization
Contact information
Practice address
119 W HILL ST, THOMASVILLE, GA 31792-6618
(229) 225-1900
(229) 225-3461
Mailing address
119 W HILL ST, THOMASVILLE, GA 31792-6618
(229) 225-1900
(229) 225-3461
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
039824
GA
207N00000X
Dermatology Physician
043430
GA
207N00000X
Dermatology Physician
044161
GA
207R00000X
Internal Medicine Physician
Primary
010526
GA
207R00000X
Internal Medicine Physician
027373
GA
207R00000X
Internal Medicine Physician
027459
GA
207R00000X
Internal Medicine Physician
031427
GA
207R00000X
Internal Medicine Physician
044213
GA
207R00000X
Internal Medicine Physician
045191
GA
207RP1001X
Pulmonary Disease Physician
034272
GA
207RR0500X
Rheumatology Physician
034186
GA
207ZD0900X
Dermatopathology (Pathology) Physician
035335
GA
2084N0400X
Neurology Physician
056867
GA
Other
Enumeration date
07/18/2006
Last updated
09/11/2025
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