Provider Demographics
NPI:1750927166
Name:G AND B MEDICAL LLC
Entity type:Organization
Organization Name:G AND B MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:GERALDA
Authorized Official - Middle Name:ANDREA
Authorized Official - Last Name:JAMES-POSEY
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:706-221-9823
Mailing Address - Street 1:PO BOX 9801
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31908-0801
Mailing Address - Country:US
Mailing Address - Phone:706-593-8097
Mailing Address - Fax:
Practice Address - Street 1:2001-12 SOUTH LUMPKIN RD SUITE 12
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31903-3190
Practice Address - Country:US
Practice Address - Phone:706-221-9823
Practice Address - Fax:706-221-9816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-20
Last Update Date:2019-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center