Provider Demographics
NPI:1871650309
Name:GEORGIA INTERNAL MEDICINE PARTNERS, LLC
Entity Type:Organization
Organization Name:GEORGIA INTERNAL MEDICINE PARTNERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:M
Authorized Official - Last Name:REESESAYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:BSHA, CMBP
Authorized Official - Phone:706-434-8275
Mailing Address - Street 1:1203 GEORGE C WILSON DRIVE, SUITE B
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-4502
Mailing Address - Country:US
Mailing Address - Phone:706-447-1118
Mailing Address - Fax:706-826-2775
Practice Address - Street 1:1203 GEORGE C. WILSON DRIVE, SUITE B
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-4502
Practice Address - Country:US
Practice Address - Phone:706-447-1118
Practice Address - Fax:706-826-2775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2018-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty