Provider Demographics
NPI:1588028591
Name:PARTNERS IN HEALTH MANAGEMENT LLC
Entity Type:Organization
Organization Name:PARTNERS IN HEALTH MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCGHIN
Authorized Official - Suffix:
Authorized Official - Credentials:NP-C, CDE
Authorized Official - Phone:229-560-5938
Mailing Address - Street 1:PO BOX 609
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31603-0609
Mailing Address - Country:US
Mailing Address - Phone:229-474-4101
Mailing Address - Fax:
Practice Address - Street 1:202 W GORDON ST STE A
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31601-4565
Practice Address - Country:US
Practice Address - Phone:229-474-4101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-06
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN054469261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service