Dr Jose R Justiniano-ayala, MD | |
205 Jenkins Rd, Rossville, GA 30741 | |
(706) 866-5520 | |
(706) 866-5502 |
Full Name | Dr Jose R Justiniano-ayala |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 205 Jenkins Rd, Rossville, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831163898 | NPI | - | NPPES |
003147280A | Medicaid | GA | |
111028 | Other | GA | MEDICARE OSCAR/CERTIFICATION |
111985 | Other | GA | MEDICARE OSCAR/CERTIFICATION |
003151883A | Medicaid | GA | |
000211956A | Medicaid | GA | |
000211956C | Medicaid | GA | |
003138289A | Medicaid | GA | |
111982 | Other | GA | MEDICARE/OSCAR/CERTIFICATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 46773 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Jose R Justiniano-ayala, MD 13570 N Main St, Trenton, GA 30752-2012 Ph: (706) 866-5520 | Dr Jose R Justiniano-ayala, MD 205 Jenkins Rd, Rossville, GA 30741 Ph: (706) 866-5520 |
Alexandra Feliciano Aponte, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 Jenkins Rd, Rossville, GA 30741 Phone: 706-866-5520 Fax: 706-657-5885 | |
Dr. Steven Joe Bradley, D. O. Family Medicine Medicare: Medicare Enrolled Practice Location: 205 Jenkins Rd, Rossville, GA 30741 Phone: 706-866-5520 Fax: 706-657-5885 |