Jesse Wade Mcintyre
Sports Medicine
504 College Dr
Albany
, Georgia 31705-2717
Jesse Wade Mcintyre
Sports Medicine
504 College Dr
Albany
, Georgia 31705-2717
(229) 317-6640
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About
Features
Specialties
- Sports Medicine
Languages spoken
- English
Location
First Address
- Jesse Wade Mcintyre
- 504 College Dr
- Albany, GA
- Zip : 31705-2717
- Fax : (229) 317-6640
- Phone : (229) 317-6549
Second Address
- Jesse Wade Mcintyre
- 504 College Dr
- Albany, GA
- Zip : 31705-2717
- Fax : (229) 317-6640
- Phone : (229) 317-6549
Reviews
FAQs
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What type of doctor is Jesse Wade Mcintyre
In what state does Jesse Wade Mcintyre practice in?
Where is Jesse Wade Mcintyre ’s practice located?
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Is Jesse Wade Mcintyre a sole practitioner?
Is Jesse Wade Mcintyre accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081S0010X | Sports Medicine | AT003021 | GA |
| Y | 213ES0000X | Sports Medicine | AT003021 | GA |
National Provider Identifier
| NPI | 1477063725 |
|---|---|
| Provider Name | Jesse Wade Mcintyre |
| First Address | Albany, GA 31705-2717 |
| Second Address | Albany, GA 31705-2717 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/10/2017 |
| Last Update Date | 17/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| AT003021 | ATHLETIC TRAINER CERTIFIED AND LICENSED (01) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.