Arukah Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

041730 Issued in GA

Legal business name

ARUKAH MEDICINE

Practice address

407 2ND Ave
Calhoun, GA 30701-2101

Phone

(706) 403-4613

Fax

(866) 348-6516

NPI assigned

Apr 15, 2010

Last updated

Apr 10, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tom D Bledsoe Jr., M.D.

Title

Ceo

Phone

(706) 403-4613

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1245556273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 2ND AVE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307012101",
            "telephone_number": "706-403-4613",
            "fax_number": "866-348-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 2ND AVE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307012101",
            "telephone_number": "706-403-4613",
            "fax_number": "866-348-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARUKAH MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-15",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "BLEDSOE",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-403-4613",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "041730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000725612C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11BDNFS",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jeffrey L. Baggett, PHARMACIST

• Internal Medicine Physician in Calhoun, GA
• Providers in Calhoun, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.