Dr Joseph Fowlkes, MD | |
2978 Highway 36 W, Jackson, GA 30233 | |
(770) 504-2144 | |
Not Available |
Full Name | Dr Joseph Fowlkes |
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Gender | Male |
Speciality | Internal Medicine |
Location | 2978 Highway 36 W, Jackson, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1568661320 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 39795 (Georgia) | Primary |
Entity Name | Centerwell Senior Primary Care Ga Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801463468 PECOS PAC ID: 3274939061 Enrollment ID: O20210901004313 |
Mailing Address | Practice Location Address |
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Dr Joseph Fowlkes, MD 1035 Rosewood Dr Ne, Atlanta, GA 30306-3552 Ph: (404) 872-9178 | Dr Joseph Fowlkes, MD 2978 Highway 36 W, Jackson, GA 30233 Ph: (770) 504-2144 |
Anthony Loren Miranda, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 239 Stony Brook Cir, Jackson, GA 30233 Phone: 209-306-4796 Fax: 478-247-8448 | |
Craig O'neil Campbell, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 10 3rd St, Jackson, GA 30233 Phone: 404-974-9740 Fax: 404-974-9740 | |
Dr. Shashi Madan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 135 N Oak St, Jackson, GA 30233 Phone: 770-775-7675 Fax: 770-775-7817 |