Timothy L Mcintire (NPI# 1578637542, PAC ID# 0446252324) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1578637542 |
| PAC ID by PECOS | 0446252324 |
| Professional Enrollment ID | I20070206000159 |
| Full Name | Timothy L Mcintire |
| Organization Legal Name | SOUTHEASTERN PATHOLOGY ASSOCIATES PC |
| Address |
1514 Vernon Rd Lagrange GA 30240-4131 |
| Phone Number | 7068821411 |
| Gender | M |
| Credential | MD |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 1983 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 5890781371 |
| Number of Group Practice Members | 46 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110124 | WAYNE MEMORIAL HOSPITAL |
| 100088 | BAPTIST MEDICAL CENTER JACKSONVILLE |
| 110025 | SOUTHEAST GEORGIA HEALTH SYSTEM- BRUNSWICK CAMPUS |
| 100117 | BAPTIST MEDICAL CENTER BEACHES |
| 110150 | NAVICENT HEALTH BALDWIN |
| Address | Phone | Organization |
|---|---|---|
| 203 Indigo Dr, Brunswick, GA 31525-6865 | 91226126691205 | SOUTHEASTERN PATHOLOGY ASSOCIATES PC |
| 2415 Parkwood Dr, Brunswick, GA 31520-4722 | 9124667000 | SOUTHEASTERN PATHOLOGY ASSOCIATES PC |
| 800 Prudential Dr, Jacksonville, FL 32207-8202 | 9122612669 | SOUTHEASTERN PATHOLOGY ASSOCIATES PC |
| 865 S 1st St, Jesup, GA 31545-0210 | 9124276811 | SOUTHEASTERN PATHOLOGY ASSOCIATES PC |
| 1514 Vernon Rd, Lagrange, GA 30240-4131 | 7068821411 | SOUTHEASTERN PATHOLOGY ASSOCIATES PC |
| 821 N Cobb St, Milledgeville, GA 31061-2343 | 4784543551 | SOUTHEASTERN PATHOLOGY ASSOCIATES PC |
| 2000 Dan Proctor Dr, Saint Marys, GA 31558-3810 | 9125766200 | SOUTHEASTERN PATHOLOGY ASSOCIATES PC |
| 1 Meadows Pkwy, Vidalia, GA 30474-8759 | 91226126691205 | SOUTHEASTERN PATHOLOGY ASSOCIATES PC |
| 1601 Watson Blvd, Warner Robins, GA 31093-3431 | 4783225155 | SOUTHEASTERN PATHOLOGY ASSOCIATES PC |
| Organization Legal Name | SOUTHEASTERN PATHOLOGY ASSOCIATES PC |
| Physicians | 49 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yumi Angerica Kojima | Pathology | Southeastern Pathology Associates PC | 203 Indigo Dr, Brunswick, GA 31525-6865 |
| Janet O Hon | Pathology | Southeastern Pathology Associates PC | 801 Oak St, Green Cove Springs, FL 32043-4317 |
| Ningxing Chen | Pathology | Southeastern Pathology Associates PC | 801 W Gordon St, Thomaston, GA 30286-3426 |
| David A Holloman | Pathology | Southeastern Pathology Associates PC | 800 Prudential Dr, Jacksonville, FL 32207-8202 |
| James H Hudson | Pathology | Southeastern Pathology Associates PC | 203 Indigo Dr, Brunswick, GA 31525-6865 |
| Shyamala Yennam | Pathology | Southeastern Pathology Associates PC | 2415 Parkwood Dr, Brunswick, GA 31520-4722 |
| Tatiana Vasylievna Barsukova | Pathology | Southeastern Pathology Associates PC | 800 Prudential Dr, Jacksonville, FL 32207-8202 |
| Gerson Paull | Pathology | Southeastern Pathology Associates PC | 801 W Gordon St, Thomaston, GA 30286-3426 |
| Thuy L Penedo | Pathology | Southeastern Pathology Associates PC | 800 Prudential Dr, Jacksonville, FL 32207-8202 |
| Robert K Wade | Pathology | Southeastern Pathology Associates PC | 1499 Fair Rd, Statesboro, GA 30458-1683 |
| Street Address |
1514 VERNON RD |
| City | LAGRANGE |
| State | GA |
| Zip | 30240-4131 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer N Bryant | Nurse Practitioner | Lagrange Emergency Physicians, LLC | 1514 Vernon Rd, Lagrange, GA 30240-4197 |
| Maria Daniel | Nurse Practitioner | Wellstar Medical Group, LLC | 1514 Vernon Rd, Lagrange, GA 30240-4131 |
| Subhod Rao | Emergency Medicine | Lagrange Emergency Physicians, LLC | 1514 Vernon Rd, Lagrange, GA 30240-4197 |
| John Thomas Veal | Nurse Practitioner | Wellstar Medical Group, LLC | 1514 Vernon Rd, Lagrange, GA 30240-4131 |
| John Robert Coggins Jr. | Gastroenterology | Wellstar Medical Group, LLC | 1514 Vernon Rd, Lagrange, GA 30240-4131 |
| Awharitefe Urhuogo | Family Medicine | Lagrange Emergency Physicians, LLC | 1514 Vernon Rd, Lagrange, GA 30240-4197 |
| William W Cupo | Emergency Medicine | Lagrange Emergency Physicians, LLC | 1514 Vernon Rd, Lagrange, GA 30240-4197 |
| Ramon K Hice | Certified Registered Nurse Anesthetist (crna) | Sentry Anesthesia Management, LLC | 1514 Vernon Rd, Lagrange, GA 30240-4131 |
| Jana L Cashen | Nurse Practitioner | Lagrange Emergency Physicians, LLC | 1514 Vernon Rd, Lagrange, GA 30240-4197 |
| Shannon L Stansell | Certified Registered Nurse Anesthetist (crna) | Sentry Anesthesia Management, LLC | 1514 Vernon Rd, Lagrange, GA 30240-4131 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Swaroop N Nyshadham | General Practice | 1990 Lukken Industrial Dr W, Suite C, Lagrange, GA 30240-1404 | |
| James B Brown | Optometry | 803 New Franklin Rd, Lagrange, GA 30240-1843 | |
| Stephan M Langston | Chiropractic | 403 Ridley Ave, Lagrange, GA 30240-2231 | |
| Shannon K Dunlap | Psychologist, Clinical | 610 Ridley Ave, Lagrange, GA 30240-2236 | |
| Ashley Miller | Nurse Practitioner | Georgia Pain and Spine Care, Inc | 303 Smith St, Fl 2, Lagrange, GA 30240-2745 |
| Kent Remley | Interventional Radiology | Georgia Pain and Spine Care, Inc | 303 Smith St, Fl 2, Lagrange, GA 30240-2745 |
| Jerry M Overall | Optometry | 208 Smith St, Lagrange, GA 30240-2755 | |
| Margaret Darden Brown | Clinical Social Worker | 100 Smith St, Suite 1, Lagrange, GA 30240-2780 | |
| James R Aspinwall | Chiropractic | Aspinwall Chiropractic Clinic, L.L.C. | 302 S Greenwood St, Lagrange, GA 30240-3122 |
| David P Dresselhaus | Chiropractic | Aspinwall Chiropractic Clinic, L.L.C. | 302 S Greenwood St, Lagrange, GA 30240-3122 |
| Find all physicians in zip 30240 | |||
| City | LAGRANGE |
| Zip Code | 30240 |
| Specialty | PATHOLOGY |
| City + Specialty | LAGRANGE + PATHOLOGY |
Please comment or provide details below to improve the information on Timothy L Mcintire.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.