Provider Demographics
NPI:1427567072
Name:CA&I MEDICAL SERVICES, LLC
Entity type:Organization
Organization Name:CA&I MEDICAL SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIE
Authorized Official - Middle Name:MATHIS
Authorized Official - Last Name:WINZER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:678-901-2543
Mailing Address - Street 1:2572 LAKE ERMA DR
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:GA
Mailing Address - Zip Code:30228-6080
Mailing Address - Country:US
Mailing Address - Phone:678-901-2543
Mailing Address - Fax:678-588-9734
Practice Address - Street 1:1215 EAGLES LANDING PKWY STE 202
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-7280
Practice Address - Country:US
Practice Address - Phone:678-588-9750
Practice Address - Fax:678-588-9734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-27
Last Update Date:2017-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA031365207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty