Provider Demographics
NPI:1386654457
Name:STRICKLAND, CERTAIN & JONES
Entity Type:Organization
Organization Name:STRICKLAND, CERTAIN & JONES
Other - Org Name:JONES, STRICKLAND, CERTAIN, SUDDUTH & JONES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ASSISTANT OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARROLL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-264-1520
Mailing Address - Street 1:2500 STARLING ST
Mailing Address - Street 2:SUITE #404
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31520-4219
Mailing Address - Country:US
Mailing Address - Phone:912-264-1520
Mailing Address - Fax:912-264-1526
Practice Address - Street 1:2500 STARLING ST
Practice Address - Street 2:SUITE #404
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520-4219
Practice Address - Country:US
Practice Address - Phone:912-264-1520
Practice Address - Fax:912-264-1526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP817Medicare ID - Type UnspecifiedMCR GROUP NUMBER