DR. JILL BUCKTHAL-MCCUIN


Address: 1000 Cowles Clinc Way, Aspen Cottages, Greensboro, GA 30642-5285
Phone: 7062257177

DR. JILL BUCKTHAL-MCCUIN (NPI# 1780803098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780803098
Entity Type Individual
Full Name DR. JILL BUCKTHAL-MCCUIN
Credential MD
Practice Address 1000 Cowles Clinc Way
Aspen Cottages
Greensboro
GA 30642-5285
Mailing Address 710 Newnan Crossing Byp
Newnan
GA 30263-2384
Practice Telephone 7062257177
Mailing Telephone 7702515111
Mailing Fax Number 7702548680
Enumeration Date 2007-04-25
Last Update Date 2010-06-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ND0900X Dermatology
Specialization: Dermatopathology
061214 GA Allopathic & Osteopathic Physicians
N 207NS0135X Dermatology
Specialization: Procedural Dermatology
61214 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA 874913241A 05
GA RAILROAD MEDICARE P00693238 01

Office Location

Street Address 1000 COWLES CLINC WAY
ASPEN COTTAGES
City GREENSBORO
State GA
Zip Code 30642-5285

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093712960 Robert S Cowles IIi Family Medicine 1000 Cowles Clinc Way, Cypress Cottage Suite C-100, Greensboro, GA 30642-5285 2005-07-06
1912451584 Takiya E. Grant Physical Therapist 1000 Cowles Clinc Way, D-100, Greensboro, GA 30642-5285 2016-08-11
1194162164 Brooks Payne Rode Pharmacist 1000 Cowles Clinc Way, Suite M-200, Greensboro, GA 30642-5285 2013-05-30
1891046967 Nsh Cancer Institute Professional Services G, LLC Durable Medical Equipment & Medical Supplies 1000 Cowles Clinc Way, Magnolia Building, Suite M-200, Greensboro, GA 30642-5285 2012-09-28
1346596301 Cynthia L South Physical Therapy Assistant 1000 Cowles Clinc Way, Suite D-100, Greensboro, GA 30642-5285 2012-07-27
1891069290 St. Mary's Medical Group, Inc. Obstetrics & Gynecology 1000 Cowles Clinc Way, Suite D-300, Greensboro, GA 30642-5285 2012-03-02
1447535810 Pain Relief Specialists, Inc Anesthesiology 1000 Cowles Clinc Way, Suite C-300, Greensboro, GA 30642-5285 2011-10-18
1780903096 Oconee Nutrition Consultants, LLC Dietitian, Registered 1000 Cowles Clinc Way, Suite O-100, Greensboro, GA 30642-5285 2010-05-26
1134379514 Georgia Dermatology Specialists of Coweta County Dermatology 1000 Cowles Clinc Way, Suite C-100, Greensboro, GA 30642-5285 2008-09-23
1720266331 Andrew R. Bishop, Md, PC Orthopaedic Surgery 1000 Cowles Clinc Way, Greensboro, GA 30642-5285 2008-02-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821575176 Donald Matson Keiser IIi Pharmacist 6380 Lake Oconee Parkway, Greensboro, GA 30642 2018-07-19
1427575844 Kathleen Mcgrady Psychologist 1121 Careywood St, Greensboro, GA 30642 2017-08-25
1851733281 April Jackson Powell Physical Therapist 1000 Cowles Clinc Way Ste D-100, Greensboro, GA 30642 2013-07-26
1003046673 Apalachee Medical Supply & Mobility Inc Durable Medical Equipment & Medical Supplies 1000 Cowles Clinic Way, Aspen Building A-200, Greensboro, GA 30642 2009-07-17
1487808754 Wendy C Pearson Nurse Practitioner 1000 Cowles Clinc Way Ste 300, Greensboro, GA 30642 2008-11-12
1144481516 Kingdom Medical Supply LLC Durable Medical Equipment & Medical Supplies 1020 Park Drive, Suite B, Greensboro, GA 30642 2008-06-18
1538369343 Jerry Allen Spivey Jr. Anesthesiology 1030 Founders Row, Greensboro, GA 30642 2007-07-19
1578766309 Richard Norman Lee Dentist 1041 Parkside Commons, Suite 104, Greensboro, GA 30642 2007-06-08
1609085950 Lott Cuffie Southwest Properties Dentist 1050 Parkside Commons, Suite 103, Greensboro, GA 30642 2007-05-22
1649320490 Greene County Nursing Center LLC Skilled Nursing Facility 1211 Siloam Road, Greensboro, GA 30642 2007-01-12
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Taxonomy Information

Taxonomy Code 207ND0900X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization Dermatopathology

Taxonomy Definition

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588959894 Dana Haydel Dermatology 706 Green Valley Rd Ste 104, Greensboro, NC 27408 2011-06-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285613307 Robert W Wetherington Dermatology 2000 Lake Park Dr Se, Smyrna, GA 30080-7611 2006-01-17
1467431940 Narayan S Naik Dermatology 1200 Lake Hearn Dr Ne, Suite300, Atlanta, GA 30319-1415 2006-01-12
1518967918 Marian C. Finan Dermatology 1200 Lake Hearn Drive, Suite 300, Atlanta, GA 30319 2005-07-28
1396243630 Bakotic Pathology Associates, LLC Dermatology 6240 Shiloh Rd, Alpharetta, GA 30005-8347 2018-01-31
1366862203 Parisa Mansoori Dermatology 1901 Phoenix Blvd Ste 210, Atlanta, GA 30349 2014-04-18
1841632783 Dermpath and Derm Consultants Dermatology 1428 Scott Blvd, Decatur, GA 30030-1424 2013-07-19
1689019184 Abha Soni Dermatology 2000 Lake Park Dr Se, Smyrna, GA 30080-7611 2013-05-09
1053565580 Johns Creek Dermatology and Family Medicine, P.C. Dermatology 6300 Hospital Pkwy, Ste 100, Johns Creek, GA 30097 2008-11-11
1679751978 Zlatan Oruc Dermatology 1777 Montreal Cir, Tucker, GA 30084-6802 2008-02-08
1700900263 Eli J Piatigorsky Dermatology 6240 Shiloh Rd, Alpharetta, GA 30005-8347 2007-03-19
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Competitor

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City GREENSBORO
Zip Code 30642

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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