Provider Demographics
NPI:1396794491
Name:JOSEPH C. HAND III, M.D.
Entity type:Organization
Organization Name:JOSEPH C. HAND III, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:C
Authorized Official - Last Name:HAND
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:912-764-7900
Mailing Address - Street 1:23 LESTER RD
Mailing Address - Street 2:
Mailing Address - City:STATESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30458-4700
Mailing Address - Country:US
Mailing Address - Phone:912-764-7900
Mailing Address - Fax:
Practice Address - Street 1:23 LESTER RD
Practice Address - Street 2:
Practice Address - City:STATESBORO
Practice Address - State:GA
Practice Address - Zip Code:30458-4700
Practice Address - Country:US
Practice Address - Phone:912-764-7900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-08
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA049984207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP7772Medicare PIN
DF0592Medicare PIN